R539 – Removal of synthetics
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure involves the removal of synthetic materials, such as synthetic ligaments or fixation devices, from the knee. This is typically performed when such materials cause complications or are no longer required following a previous ligament reconstruction surgery. As a surgical service, it includes all standard pre-operative, intra-operative, and post-operative care associated with the procedure.
When to Use
- Use R539 specifically for the removal of synthetic ligamentous materials or fixation hardware from the knee following a previous reconstruction.
- Select R539 when the primary surgical intent is the extraction of failed or symptomatic synthetic implants, rather than a primary reconstruction or revision procedure.
Common Pitfalls
- Avoid billing R539 in conjunction with primary reconstruction codes, as the removal of hardware is often considered an integral component of a revision surgery and may be disallowed as 'included' in the primary procedure.
- Do not bill R539 for the removal of simple sutures or non-synthetic materials, as this code is strictly defined for synthetic fixation devices or ligaments.
Billing Tips
- Ensure the operative report explicitly details the synthetic nature of the material removed to support the use of R539 over more generic debridement or removal codes.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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