What is OHIP billing code R630?

R630 is "Hip disarticulation", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R630 pay?

The current OHIP fee for R630 is $753.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R630 to OHIP?

R630 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R630 claims against the Schedule of Benefits rules before submission.

What codes are related to R630?

Codes related to R630 in the Schedule of Benefits include R631, R470, R439, R440, R553.

All codes

R630

R630 – Hip disarticulation

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

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Hip disarticulation is a major surgical amputation procedure performed at the hip joint. The fee for the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) includes all constituent and common elements of an insured service as defined in the Schedule of Benefits. This includes pre-operative evaluation, the surgical procedure itself, and post-operative care. Fees are calculated based on a combination of basic units and time units, and may be eligible for various premiums based on patient age, time of day, and clinical circumstances.

When to Use

Use R630 for a formal hip disarticulation procedure where the entire lower extremity is removed at the hip joint.
Use this code for traumatic amputations requiring formal surgical revision at the hip joint level, provided the procedure meets the definition of a disarticulation.

Common Pitfalls

Billing R630 when the procedure is actually a high-level above-knee amputation (e.g., R631); ensure the surgical report confirms the hip joint was disarticulated.
Attempting to bill additional surgical procedures performed during the same operative session without accounting for the multiple procedure rules, which may lead to automatic reductions in basic units.

Billing Tips

Ensure the surgical report explicitly documents the disarticulation at the hip joint to support the claim during potential audits, as this is a high-value procedure.
If the procedure is non-elective and requires travel, remember that the surgical assistant and anaesthetist must bill their respective special visit premiums (e.g., C988B, C998C) separately from the procedural fee.

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Provider Fee$753.50

Surgical Assistant Fee$129.10

Anaesthetist Fee$159.60

Non-Anaesthetist Fee$159.60

Effective: April 1, 2026

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