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R557
R557 – Tenoplasty - one
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R557 is a surgical procedure code for Tenoplasty - one, performed on the hand or wrist, as listed under Musculoskeletal System Surgical Procedures. As a surgical procedure, it is eligible for surgeon (A), assistant (B), and anaesthetist (C) services. It may be eligible for various premiums such as age-based, after-hours, and trauma premiums, subject to the conditions outlined in the General Preamble.
When to Use
- Use R557 for the primary repair or reconstruction of a single tendon in the hand or wrist where a formal tenoplasty procedure is performed.
- Select R557 when performing a primary tendon transfer or graft on a single digit or wrist structure, distinguishing it from simple tenorrhaphy codes.
Common Pitfalls
- Billing R557 alongside other hand surgery codes without checking for bundling rules, as many musculoskeletal procedures are considered inclusive of primary tendon work.
- Failing to append E050 when multiple tendons are addressed in the same operative session, leading to under-billing for secondary tendon work.
Billing Tips
- Always bill R557 as the primary procedure and utilize E050 for each additional tendon repaired during the same surgical encounter to maximize the claim value.
Provider Fee$223.65
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
Urogenital and Urinary Surgical Procedures
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