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R656
R656 – LeFort III and subcranial hypertelorism correction
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
LeFort III and subcranial hypertelorism correction. The asterisk indicates this service includes harvesting and grafting of bone or cartilage grafts as noted on () and ().
When to Use
- Use R656 for the comprehensive correction of midface deficiency and hypertelorism requiring a LeFort III osteotomy and associated bone grafting.
- Use this code when the surgical plan necessitates both the advancement of the midface complex and the correction of subcranial hypertelorism in a single operative session.
Common Pitfalls
- Do not bill separately for bone or cartilage graft harvesting, as the asterisk in the Schedule of Benefits confirms these are inclusive of the R656 fee.
- Avoid billing R656 alongside other facial osteotomy codes like R653 or R654, as these are typically considered components of the comprehensive R656 procedure and are subject to bundling rules.
Billing Tips
- Ensure the surgical report explicitly details the bone graft source and site, as this is a mandatory documentation requirement for the inclusive fee.
- If a second surgical assistant is required, you must obtain prior authorization from a medical consultant, as R656 is not on the pre-approved list for dual assistance.
Provider Fee$2,590.35
Surgical Assistant Fee$150.12
Anaesthetist Fee$387.25
Non-Anaesthetist Fee$387.25
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Includes harvesting and grafting of bone or cartilage grafts.
* Includes harvesting and grafting of bone or cartilage grafts.
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