R595 – Olecranon bursae excision
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Olecranon bursae excision. This procedure is listed under 'EXCISION - Bursae' in the 'ELBOW AND FOREARM' section of 'N. Musculoskeletal System Surgical Procedures' on page . As a surgical procedure, it is subject to the general rules for surgery, assistance, and anaesthesia outlined in the General Preamble. Claims must be submitted with the appropriate suffix: 'A' for the surgeon, 'B' for the assistant, and 'C' for the anaesthesiologist.
When to Use
- Use R595 for the formal surgical excision of a chronic or infected olecranon bursa that has failed conservative management.
- Select R595 when the procedure is performed in an operating room setting, distinguishing it from simple office-based aspiration or incision and drainage (which would be billed as a minor procedure).
Common Pitfalls
- Billing R595 alongside a consultation or assessment on the same day without a valid diagnostic code indicating a separate, unrelated clinical issue, which will trigger a rejection.
- Attempting to bill for a second surgical assistant without prior approval from a medical consultant, as R595 is not pre-authorized for two assistants.
Billing Tips
- Ensure the correct suffix (A, B, or C) is appended to the code to avoid immediate rejection by the claims processing system.
- If the procedure is performed as an emergency or after-hours, apply the appropriate E-code premium (E409 or E410) to the procedural fee to maximize reimbursement.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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