R625 – Gritti-Stokes or Callander amputation
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R625 is a fee code for a specific surgical procedure related to the cardiovascular system. The exact nature of the procedure is not detailed in the provided context but is listed within the surgical section of the OHIP Schedule of Benefits. This service is eligible for surgeon (A), assistant (B), and anaesthetist (C) fees.
When to Use
- Use R625 specifically for a Gritti-Stokes (supracondylar amputation with patellofemoral arthrodesis) or Callander (supracondylar amputation through the knee joint) procedure.
- Select R625 when the surgical approach involves the specific distal femoral osteotomy and patellar fixation techniques defined by these eponyms, rather than a standard above-knee amputation.
Common Pitfalls
- Billing R625 alongside other major musculoskeletal procedures without ensuring the 'multiple procedure' rule is applied, which may lead to automatic reductions or rejections.
- Failing to include the mandatory operative report in the patient record, which is a primary trigger for post-payment audits regarding surgical fee code validity.
- Incorrectly billing R625 for a standard transfemoral amputation, which should be coded under the appropriate general amputation fee rather than this specific knee-level procedure.
Billing Tips
- Ensure the operative report explicitly details the patellar fixation or specific supracondylar technique to justify the use of R625 over generic amputation codes.
- If the procedure is performed after hours, ensure the start time is clearly documented in the operative note to support the application of E409 or E410 premiums.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
All insured services must be documented in appropriate records, establishing that the service was provided, is the service submitted, and was medically necessary.
An operative report is required.
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