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R600

R600Femoral neck trochanteric, subtrochanteric fracture - delayed/staged graft

OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Delayed/staged graft is a surgical procedure for fractures of the femoral neck, trochanteric, or subtrochanteric regions. This procedure is eligible for assistant services (suffix B) and anaesthesia services (suffix C).

When to Use

  • Use R600 specifically for a secondary or staged surgical procedure involving bone grafting for femoral neck, trochanteric, or subtrochanteric fractures that were not addressed in the initial index surgery.
  • Select R600 when the clinical documentation explicitly confirms a delayed intervention or staged approach for grafting, distinguishing it from primary fracture fixation codes like F098 or F099.

Common Pitfalls

  • Billing R600 for a primary fracture fixation procedure is a common error; ensure the procedure is clearly identified as a secondary or staged graft in the operative report.
  • Failure to document the specific 'delayed' or 'staged' nature of the graft can lead to audit rejections if the claim is flagged as an unbundled component of the primary fracture repair.

Billing Tips

  • Always append the appropriate suffix (B for assistant, C for anaesthesia) to the base code R600 to ensure the full surgical team is compensated correctly.
  • If the procedure qualifies as an emergency or is performed after hours, ensure you apply the correct E-series premium (e.g., E409 or E410) rather than attempting to inflate the base R600 fee.
Provider Fee$289.50
Specialist Fee$0.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92

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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