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R583
R583 – Steindler flexoplasty
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Steindler flexoplasty is a surgical procedure listed under the 'Elbow and Forearm - Reconstruction' section of the Schedule of Benefits. It falls under the sub-heading of 'Transposition/transplantation/transfer' and is performed to restore function to the elbow and forearm.
When to Use
- Use R583 specifically for the proximal advancement of the flexor-pronator origin to the humerus to restore active elbow flexion in patients with brachial plexus injuries or obstetric palsy.
- Select R583 when performing a formal Steindler flexoplasty; do not use this code for general tendon transfers or simple muscle releases that do not involve this specific anatomical reconstruction.
Common Pitfalls
- Billing R583 in conjunction with other musculoskeletal reconstruction codes without clear documentation of separate, distinct surgical sites may trigger a claim rejection for unbundling.
- Failing to apply the mandatory age-based premiums (e.g., for patients under 16) results in significant underpayment, as these are not automatically calculated by the system.
Billing Tips
- Ensure the operative report explicitly details the proximal transfer of the common flexor origin to the humerus to support the use of R583 over more generic musculoskeletal procedure codes.
Provider Fee$344.85
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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