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R540
R540 – Open reduction - recurrent
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction of a recurrent dislocation of the radial head. This procedure is listed under the Musculoskeletal System - Elbow and Forearm section.
When to Use
- Use R540 specifically for the open surgical reduction of a radial head dislocation that has recurred after a previous injury or intervention.
- Select R540 when the procedure involves an open approach to address chronic or recurrent instability of the radial head, distinct from the closed reduction typically billed under R558.
Common Pitfalls
- Billing R540 for an initial, acute radial head dislocation is a common error; acute cases are typically managed with closed reduction or different surgical codes.
- Failing to document the 'recurrent' nature of the dislocation in the operative report is a significant audit risk, as the code specifically mandates this clinical history.
Billing Tips
- Ensure the operative report clearly describes the open approach and the specific surgical steps taken to stabilize the recurrent dislocation to support the use of R540 over simpler reduction codes.
Provider Fee$227.40
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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