R597 – Simple/single repair - wrist
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Simple/single repair - wrist. As a surgical procedure, this service is subject to the general rules for surgical procedures outlined in the Schedule of Benefits. This includes constituent and common elements of insured services as described on and , and specific elements for surgical assistance as per or anaesthesia as per .
When to Use
- Use R597 for the primary repair of a simple laceration or wound specifically involving the wrist area that requires surgical closure.
- Use this code when the procedure is performed as a standalone surgical event, distinct from a general assessment or consultation.
Common Pitfalls
- Billing R597 in conjunction with an assessment code (e.g., A007) on the same day is a common rejection, as the procedure is considered inclusive of the assessment unless separately listed as payable.
- Confusing R597 with minor procedure codes like X13; ensure the anatomical site is strictly the wrist and the complexity meets the 'surgical repair' threshold rather than a simple dressing or minor wound care.
Billing Tips
- If the procedure is performed after hours, ensure you append the correct premium (E409 or E410) rather than a special visit fee, as R597 is a surgical procedure.
- Always document the specific length and depth of the repair in the operative note to defend the classification of the procedure as a surgical repair rather than a minor office intervention.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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