What is OHIP billing code R603?

R603 is "Digital reimplantation involving microvascular and neuro anastomosis", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R603 pay?

The current OHIP fee for R603 is $1850.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R603 to OHIP?

R603 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R603 claims against the Schedule of Benefits rules before submission.

What codes are related to R603?

Codes related to R603 in the Schedule of Benefits include R604.

All codes

R603

R603 – Digital reimplantation involving microvascular and neuro anastomosis

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

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Digital reimplantation involving microvascular and neuro anastomosis. This is a surgical procedure listed under N. Musculoskeletal System Surgical Procedures.

When to Use

Use R603 exclusively for complete digital replantation where both microvascular anastomosis and nerve repair are performed to restore viability and sensation.
Select R603 when the procedure involves the complex reconstruction of a severed digit requiring microsurgical techniques, distinguishing it from simple soft tissue repairs or non-microvascular amputations.

Common Pitfalls

Billing R603 alongside other musculoskeletal repair codes for the same digit is a common cause of rejection due to the comprehensive nature of the code; ensure the operative report clearly justifies the scope of the microvascular work.
Failure to document the specific microvascular and neuro anastomosis details in the operative report often leads to audit adjustments, as these are the defining requirements for this high-value code.

Billing Tips

Ensure that the claim reflects the complexity of the procedure by confirming that the operative report explicitly details the microsurgical repair of both vessels and nerves, as these are mandatory components for R603.
If multiple digits are replanted, ensure each instance of R603 is billed with the appropriate site indicator, but be prepared for manual review or potential bundling if the procedures are performed through the same incision or approach.

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Provider Fee$1,850.00

Surgical Assistant Fee$103.28

Anaesthetist Fee$127.68

Non-Anaesthetist Fee$127.68

Effective: April 1, 2026

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