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R585
R585 – Suture flexor tendon - single
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R585 is a surgical procedure for suture of a single flexor tendon, listed under Musculoskeletal System Surgical Procedures. If additional tendon repair(s) requires a separate incision, billing should follow Surgical Preamble . Open repair of acute or chronic mallet or Boutonniere deformity may be claimed as R578. Payment is based on a unit system for the surgeon, assistant, and anaesthesiologist.
When to Use
- Use R585 for the primary repair of a single flexor tendon in the hand or wrist.
- Use R585 when performing an open repair of a flexor tendon laceration, distinct from extensor tendon repairs like R578.
Common Pitfalls
- Billing R585 for multiple tendons without using the appropriate additional code E581, which leads to underpayment.
- Attempting to bill R585 for mallet or Boutonniere deformities, which are specifically covered under R578.
- Failing to document the separate incision requirement when attempting to bill multiple tendon repairs under the Surgical Preamble SP2 rules.
Billing Tips
- Always append E581 for each additional flexor tendon repaired during the same operative session to maximize the claim value.
- Ensure the operative report clearly distinguishes between the primary tendon repaired under R585 and any secondary tendons repaired under E581 to satisfy audit requirements.
Provider Fee$433.10
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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