What is OHIP billing code R528?

R528 is "Complex muscle repair", an OHIP Integumentary System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How do I bill R528 to OHIP?

R528 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R528 claims against the Schedule of Benefits rules before submission.

What codes are related to R528?

Codes related to R528 in the Schedule of Benefits include R525.

All codes

R528

R528 – Complex muscle repair

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Complex muscle repair, which includes the repair of involved skin. This service is designated for Independent Consideration (IC) as per . Claims for this service must be submitted with a supporting letter detailing the service, a copy of the operative report, and a comparison of the scope and difficulty of the procedure in relation to other listed services. See also R525A for simple muscle repair.

For Independent Consideration (IC) services, claims must be submitted with a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.

R525

Complex repair (see )

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