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R566
R566 – Tenotomy - open - multiple
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the open surgical procedure involving multiple tenotomies (cutting of tendons) as a reconstructive measure for the muscles and tendons of the knee. This is distinct from a single open tenotomy (R564).
When to Use
- Use R566 when performing an open surgical release of multiple tendons specifically for knee reconstruction, such as in the correction of flexion contractures.
- Select R566 instead of R564 when the operative report confirms that more than one tendon was released or lengthened during the same open surgical session.
Common Pitfalls
- Billing R566 alongside R564 is a common error; R566 is intended to encompass the multiple nature of the procedure and should not be unbundled.
- Failing to clearly document the specific tendons addressed in the operative report increases the risk of audit recovery, as the 'multiple' designation must be clinically justified.
Billing Tips
- Ensure the operative note explicitly lists each tendon released to support the 'multiple' designation, as this is the primary differentiator from the single-tenotomy code R564.
Provider Fee$253.30
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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