All codes
R565
R565 – Tendon transfer foot and ankle - single
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service covers the surgical transfer of a single tendon in the foot and ankle region. Each additional tendon transfer performed during the same operative session should be claimed using the add-on code E055.
When to Use
- Use R565 as the primary code for the first tendon transfer performed in the foot or ankle region during an operative session.
- Use R565 in conjunction with E055 when multiple distinct tendon transfers are performed on the same foot or ankle during the same procedure.
Common Pitfalls
- Billing E055 as a standalone procedure without R565 will result in an automatic rejection as it is strictly an add-on code.
- Attempting to bill R565 multiple times for multiple tendons instead of using the primary code once followed by the appropriate quantity of E055 will lead to claim adjustment or rejection.
Billing Tips
- Always ensure the primary procedure R565 is listed first on the claim, followed by the E055 add-on code for each additional tendon transferred.
- If the procedure is non-elective and performed after hours, ensure the appropriate premium (E409A or E410A) is applied to the R565 base fee to maximize reimbursement.
Provider Fee$253.30
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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