R604 – Revision of pollicization or digital reimplantation
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R604 is a surgical procedure code within the Musculoskeletal System section. It is listed as 'I.C.' (Independent Consideration) for Assistant, Surgical, and Anaesthesia fees. This code is for the revision of Pollicization (R602) or Digital Reimplantation (R603). Claims for I.C. services must be submitted with a supporting letter explaining the fee claimed, an operative or consultation report, and a comparison of the scope and difficulty of the procedure to non-I.C. procedures in the Schedule. For surgical procedures not listed but similar to a listed service, R990 should be used.
When to Use
- Use R604 for secondary surgical revisions of a previously performed pollicization (R602) where tissue rearrangement or neurovascular pedicle adjustment is required.
- Use R604 for secondary interventions following a digital reimplantation (R603) that require complex reconstruction beyond standard debridement or minor wound care.
Common Pitfalls
- Failure to provide a detailed comparative analysis against R602 or R603 will result in an automatic rejection or a significant reduction in the I.C. fee assessment.
- Submitting R604 for routine follow-up visits or minor office-based revisions that do not meet the threshold of a major surgical procedure will lead to claim denial.
- Neglecting to attach the operative report specifically detailing the technical complexity of the revision compared to the primary procedure is a frequent cause of payment delays.
Billing Tips
- Structure your supporting letter by explicitly contrasting the operative time, technical difficulty, and anatomical complexity of the revision against the base R602 or R603 procedure to justify the requested I.C. amount.
No fee information available.
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
Supporting letter explaining the amount of the fee claimed
Appropriate operative or consultation report
Comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule
Information regarding this code's fees and specific billing instructions are based on its 'I.C.' (Independent Consideration) status as detailed in the General Preamble .
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.