What is OHIP billing code R626?

R626 is "Amputation - through femur", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R626 pay?

The current OHIP fee for R626 is $602.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R626 to OHIP?

R626 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R626 claims against the Schedule of Benefits rules before submission.

What codes are related to R626?

Codes related to R626 in the Schedule of Benefits include R625.

All codes

R626

R626 – Amputation - through femur

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

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Surgical amputation through the femur. This procedure is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. The assistant's fee is calculated based on 6 base units plus time units (see , ). The anaesthetist's fee is based on 7 base units plus time units (see , ).

When to Use

Use R626 for a formal surgical amputation performed specifically through the femur, distinguishing it from R625 which covers amputation through the foot or ankle.
Select this code for non-elective, urgent amputations necessitated by trauma or acute vascular compromise where the level of amputation is confirmed at the femoral level.

Common Pitfalls

Billing R626 without the required assistant (R626B) or anaesthetist (R626C) base units will result in incomplete compensation for the surgical team.
Attempting to bill a second assistant for this procedure without prior authorization from a medical consultant will lead to automatic rejection, as R626 is not pre-approved for dual assistance.
Failing to document the Injury Severity Score (ISS) in the patient record when claiming the E420 trauma premium will trigger an audit recovery.

Billing Tips

Ensure the surgical assistant and anaesthetist calculate their total fees by adding the specific base units (6 for R626B, 7 for R626C) to their respective time units before applying any applicable after-hours or trauma premiums.
For non-elective cases requiring travel, maximize your claim by pairing the base procedure with the appropriate special visit premium (e.g., C999B for assistants or C999C for anaesthetists) in addition to the night or weekend time-based premiums.

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Provider Fee$602.80

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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