R582 – Boutonniere - late
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure on the musculoskeletal system, as indicated by the 'R' prefix. The service includes the work of the primary surgeon (suffix A), and may also be billed for an assistant (suffix B) and anaesthetist (suffix C). Payment for assistant and anaesthetist services is calculated based on basic and time units as outlined in the - and - respectively. This service is eligible for various premiums including those for age, after-hours work, and trauma, subject to the conditions in the General Preamble.
When to Use
- Use R582 for the surgical correction of a chronic or established Boutonniere deformity that has failed conservative management.
- Use this code for secondary reconstruction procedures where the central slip has attenuated or ruptured, necessitating formal surgical repair or tendon reconstruction.
Common Pitfalls
- Billing R582 for acute traumatic injuries; acute repairs should be billed under the appropriate acute tendon repair codes rather than the 'late' or chronic deformity code.
- Failing to document the specific surgical technique used, which is critical for justifying the complexity of a 'late' reconstruction compared to a simple primary repair.
- Attempting to bill additional surgical procedures on the same digit without verifying if they are considered inclusive under the General Preamble's multiple procedure rules.
Billing Tips
- Ensure the operative report clearly details the chronic nature of the deformity to justify the use of the 'late' classification over acute repair codes.
- Always confirm the surgical start and end times in the patient record, as these are mandatory for the accurate calculation of assistant and anaesthetist time-based units.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
For time-based services (assistant, anaesthesia), the physician must record the start and end times in the patient's permanent medical record.
The specific description for billing code R582 was not found in the provided context. The information has been derived from general rules applicable to surgical procedures as outlined in the General Preamble.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.