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R586
R586 – Reconstruction of flexor tendon pulley, per finger
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R586 is a surgical procedure listed in the Musculoskeletal System Surgical Procedures section of the Schedule of Benefits.
When to Use
- Use R586 when performing an isolated reconstruction of a flexor tendon pulley, such as the A2 or A4 pulley, following rupture or chronic insufficiency.
- Use this code for pulley reconstruction procedures that are distinct from primary flexor tendon repairs (e.g., R593 or R594) when the pulley itself requires a dedicated graft or repair technique.
Common Pitfalls
- Billing R586 in addition to a primary flexor tendon repair (R593/R594) may be flagged as unbundling unless the operative report explicitly details a separate, distinct reconstruction of the pulley structure.
- Failing to specify the finger on the claim can lead to rejections; always ensure the diagnostic code and the service location accurately reflect the specific digit treated.
Billing Tips
- If the procedure is performed as part of a complex multi-tendon reconstruction, ensure the operative report clearly differentiates the pulley reconstruction from the tendon repair to justify separate billing if applicable.
Provider Fee$97.35
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
Digestive System Surgical Procedures
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