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R580
R580 – LeFort I cleft palate - in one segment
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Performs a LeFort I osteotomy in one segment for a patient with a cleft palate. The fee for this procedure is inclusive of the harvesting and grafting of bone or cartilage grafts as noted on .
When to Use
- Use R580 for a single-segment LeFort I osteotomy specifically in patients with a cleft palate diagnosis.
- Use R580 as the base procedural code when performing concurrent hard palate fistula closure (E972) or alveolar fistula closure (E971) in the cleft palate population.
Common Pitfalls
- Do not bill separately for bone or cartilage harvesting; these are explicitly included in the R580 fee as per the Schedule of Benefits.
- Avoid billing E967 or E968 if the procedure is performed in a single segment; these add-ons are strictly for multi-segment osteotomies.
- Ensure the hospital setting is documented for add-ons like E968, E969, and E970, as these are restricted to hospital-based procedures.
Billing Tips
- Always append the appropriate age-based premium for patients under 16, as R580 is a surgical procedure eligible for these percentage increases.
Provider Fee$1,525.30
Surgical Assistant Fee$125.10
Anaesthetist Fee$309.80
Non-Anaesthetist Fee$309.80
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
* Includes harvesting and grafting of bone or cartilage grafts.
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