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R589
R589 – Tendon repair or release - biceps
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents a surgical procedure within the Musculoskeletal System section of the Schedule of Benefits. As no specific description is provided in the context, this code likely falls under a general category for procedures not otherwise specified. Billing should follow the general rules for surgical procedures outlined in the Schedule, including those for assistants and anaesthesiologists.
When to Use
- Use R589 for the surgical repair of a ruptured distal biceps tendon when the procedure is limited to the tendon itself and does not involve complex reconstructive grafting or extensive hardware fixation.
- Use R589 for simple biceps tendon release or tenotomy procedures performed as an isolated surgical event.
Common Pitfalls
- Billing R589 in conjunction with other major shoulder or elbow procedures often triggers a 'multiple procedure' rule, where the secondary procedure is reduced by 50%; ensure you are not unbundling components that should be covered by a more comprehensive code.
- Attempting to bill R589 alongside R990 (or other musculoskeletal codes) without clear documentation of distinct surgical sites or separate incisions will lead to automatic rejection or audit recovery.
Billing Tips
- If a second assistant is required for this procedure, you must obtain prior authorization from a medical consultant and submit a letter of explanation, as R589 is not on the pre-approved list for second assistant billing.
Provider Fee$227.40
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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