All codes
R536
R536 – Tendon release (open) - finger/palm
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Tendon release (open) is a surgical procedure performed on the finger or palm. The fee for this service covers the release of a single tendon. If more than one tendon release is performed, E592 is payable as an add-on for each additional release.
When to Use
- Use R536 for the primary open release of a single tendon in the finger or palm, such as for trigger finger or stenosing tenosynovitis.
- Use R536 as the base code when performing multiple tendon releases, with E592 claimed as an add-on for each subsequent tendon released during the same session.
Common Pitfalls
- Billing E592 as a standalone code; it is strictly an add-on and will be rejected unless billed on the same claim as R536.
- Attempting to bill R536 multiple times for multiple tendons; you must use R536 once and E592 for each additional release to avoid claim rejection or audit flags.
- Failing to document the specific number of tendons released, which is required to justify the quantity of E592 units claimed.
Billing Tips
- Ensure the total number of E592 units corresponds exactly to the number of additional tendons released beyond the first one covered by R536.
- If a surgical assistant is required, you must submit a letter to the Ministry explaining the necessity to obtain authorization for M400B, as it is not automatically payable.
Provider Fee$186.35
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.