R612 – Wrist amputation
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Amputation at the wrist. This service is listed in the Musculoskeletal System Surgical Procedures section of the Schedule. The fee for this service may be eligible for various premiums, including age-based premiums for patients under 16 years old as described on page , after-hours premiums as described on pages , , and , and a trauma premium (E420) as described on page . Assistant and Anaesthetist services are payable based on a system of basic and time units outlined in the General Preamble.
When to Use
- Use R612 for a formal amputation procedure performed specifically at the wrist joint level.
- Select R612 when the clinical documentation confirms a formal disarticulation or amputation at the wrist, distinguishing it from more proximal forearm amputations coded under R611.
Common Pitfalls
- Billing R612 in conjunction with other musculoskeletal procedures on the same limb may trigger 'multiple procedure' rules; ensure you are not unbundling components already included in the global surgical fee.
- Attempting to bill a second surgical assistant without prior authorization will result in automatic rejection, as R612 is not on the Ministry's pre-approved list for secondary assistance.
Billing Tips
- If the procedure is performed as an emergency trauma case, remember to append the E420 trauma premium to maximize the claim value.
- Always verify if the patient is under 16 years of age to apply the appropriate age-based premium as defined in GP64, as this is often overlooked in surgical billing.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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