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R660
R660 – Burn debridement and excision - hand - each digit
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Burn debridement and excision of the hand, per digit. This service is for procedures performed outside of an Operating Room.
When to Use
- Use R660 specifically for debridement or excision of burn tissue on the hand when the procedure is performed in an office or clinic setting, rather than an Operating Room.
- Apply this code on a per-digit basis; if multiple digits are treated, bill R660 for each digit involved to reflect the total work performed.
Common Pitfalls
- Billing R660 for procedures performed in an Operating Room, which is a violation of the code's definition and will lead to audit recovery.
- Confusing R660 with general wound debridement codes; ensure the clinical documentation explicitly specifies the injury is a 'burn' to justify the use of the R-series burn codes.
- Failing to document the specific digits treated, which is required to support billing multiple units of R660.
Billing Tips
- When treating multiple digits, ensure the claim reflects the number of units corresponding to the number of digits debrided to maximize the fee appropriately.
- If the procedure is performed after hours or during the night, ensure you append the appropriate E409 or E410 premium to the R660 fee, provided the procedure meets the non-elective criteria.
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