All codes
R521
R521 – Muscles and tendons - radical
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
As an 'R' code, R521 represents a surgical procedure, specifically a radical muscle release, e.g., muscle slide. Payment for surgical procedures generally includes the major pre-operative visit where the decision to operate is made, the operation itself, and normal post-operative care. This service may be eligible for various add-on premiums, such as those for patient age (), after-hours services (e.g., E409, E410), and major trauma (E420). Payment rules for assistants and anaesthesiologists involve a unit-based system detailed in the General Preamble (, ). All services must be documented in the medical record to prove medical necessity as per .
The medical record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
An appropriate operative report must be included in the patient's medical record.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.