Question 1

What is OHIP billing code R538?

Accepted Answer

R538 is "LeFort I intrusion - in one segment", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does R538 pay?

Accepted Answer

The current OHIP fee for R538 is $1059.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill R538 to OHIP?

Accepted Answer

R538 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R538 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to R538?

Accepted Answer

Codes related to R538 in the Schedule of Benefits include E963, E964, R379, R567, R580.

R538 – LeFort I intrusion - in one segment

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