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R551

R551 – Excision of fascia for Dupuytrens (palmar fibromatosis), single ray

OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Excision of fascia for Dupuytren's (palmar fibromatosis) for a single ray, with or without flaps. The service includes the palmar and digital components of the procedure when rendered. Payment is subject to specific clinical criteria related to joint contracture or functional impairment.

When to Use

  • Use R551 for the primary ray excision when the patient presents with an MCP joint flexion contracture of 30 degrees or greater.
  • Use R551 when treating a patient with any degree of IP joint flexion contracture, as this meets the specific clinical criteria for surgical intervention.
  • Use R551 for the surgical management of recurrent Dupuytren's disease where a prior interventional treatment has failed and a flexion contracture has returned.

Common Pitfalls

  • Billing R551 alongside skin flap or graft codes will result in a rejection, as these are explicitly excluded by the Schedule of Benefits.
  • Attempting to bill R551 for a simple aponeurotomy is a common audit trigger, as this code is strictly for fasciectomy procedures.
  • Exceeding the maximum of two E832 codes per limb per day is a frequent error that leads to automatic claim adjustments.

Billing Tips

  • Ensure your operative note explicitly documents the degree of contracture (e.g., 'MCP joint 35 degrees') to satisfy the mandatory clinical criteria for payment.
  • Always bill the primary ray as R551 and use E832 for subsequent rays to ensure correct fee calculation for multi-ray procedures.
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Provider Fee$322.15
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

E832E831R549

Services listed under 'Skin Flaps and Grafts’ are not eligible for payment with R549 or R551.

R551, E832 and E831 include the palmar and digital components of the Dupuytrens procedure, when rendered.

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R551 – Excision of fascia for Dupuytrens (palmar fibromatosis), single ray | OHIP Fee Schedule | SnapBill MD