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R606
R606 – Amputation - Phalanx
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical amputation of a phalanx. As a surgical procedure, this service includes all inherent pre-operative and post-operative care, and is subject to the common and specific elements for surgical services as outlined in the General Preamble. The fee is payable to the surgeon (suffix A), with additional allowances for an assistant (suffix B) and anaesthetist (suffix C) based on time and base units.
When to Use
- Use R606 for the formal surgical amputation of a single phalanx, distinct from simple debridement or minor excision of soft tissue.
- Select R606 when the procedure involves bone resection at the phalangeal level, whereas R608 should be reserved for amputation at the metacarpal or metatarsal level.
Common Pitfalls
- Billing R606 in addition to a minor assessment or procedure code on the same day is often rejected as the fee includes all inherent pre-operative and post-operative care.
- Failure to document the specific phalanx level can lead to audit scrutiny if the claim is flagged for review against higher-value amputation codes like R610 or R611.
- Attempting to bill R606 alongside E583 (debridement) for the same site is generally disallowed as the amputation procedure inherently includes the necessary tissue management.
Billing Tips
- Ensure the operative report clearly defines the level of amputation to justify R606 over more complex distal or proximal procedures.
- If the procedure is performed non-electively during after-hours, ensure the appropriate E-code premium is appended to the claim to maximize the procedural fee.
Provider Fee$161.45
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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