All codes
R621
R621 – Ray (single)
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Amputation of a single ray of the foot. A ray of the foot is comprised of a metatarsal bone and its corresponding toe (phalanx or phalanges). The amount payable for the surgical assistant service is calculated by adding 6 basic units to time units. The amount payable for the anaesthesia service is calculated by adding 6 basic units to time units.
When to Use
- Use R621 when performing a formal amputation of a single ray, which must include both the metatarsal bone and the associated phalanx/phalanges.
- Use R621 for surgical procedures involving the resection of a single ray due to osteomyelitis or severe diabetic foot infection, provided both the metatarsal and toe are removed.
Common Pitfalls
- Billing R621 for a simple toe amputation (phalanx only) is incorrect; use R620 for toe amputations to avoid rejection or audit recovery.
- Attempting to bill R621 alongside R622 or R623 for multiple ray amputations without applying the appropriate multiple procedure rules (usually 100% for the first and 50% for subsequent) will lead to incorrect payment.
- Failure to document the removal of the metatarsal bone in the operative report is a common audit trigger, as the definition of a 'ray' specifically requires the metatarsal component.
Billing Tips
- Ensure the operative report explicitly describes the level of metatarsal resection to justify the use of R621 over lesser toe-only amputation codes.
- If performing a ray amputation in conjunction with other foot procedures, verify the Schedule of Benefits for the specific multiple-procedure reduction rules to ensure accurate claim submission.
Provider Fee$286.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Since Oct 2005, this fee has increased 31.7% vs 52.9% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.