What is OHIP billing code R624?

R624 is "Amputation of tibia/fibula", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R624 pay?

The current OHIP fee for R624 is $552.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R624 to OHIP?

R624 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R624 claims against the Schedule of Benefits rules before submission.

All codes

R624

R624 – Amputation of tibia/fibula

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

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This service covers the surgical amputation of the tibia and/or fibula. The fee for the surgeon (suffix A) is a set amount. The fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on basic units plus time units as defined in the Schedule of Benefits. The service includes all common and specific elements of surgical procedures, including pre-operative evaluation and routine post-operative care as outlined in the General Preamble on pages , , , and .

When to Use

Use R624 for the definitive surgical amputation of the tibia and/or fibula, including cases of severe trauma or advanced peripheral vascular disease.
Use this code for planned elective amputations where the procedure is localized to the lower leg, distinguishing it from more proximal procedures like knee disarticulation (R623).

Common Pitfalls

Billing R624 alongside a separate consultation or assessment fee on the same day is a common rejection, as pre-operative evaluation is included in the surgical fee per the General Preamble.
Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium will result in automatic audit recovery.
Incorrectly claiming after-hours premiums (E409/E410) for elective procedures that were not delayed by an intervening surgical emergency.

Billing Tips

Ensure that the start time of the procedure is accurately recorded to support the eligibility of after-hours or night premiums (E409, E410, E400B/C, E401B/C).
When travel is required for non-elective R624 procedures, ensure the special visit premium (e.g., C998C, C999C) is linked to the first patient seen to avoid claim rejection.

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Provider Fee$552.70

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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