What is OHIP billing code R676?

R676 is "Forehead advancement - unilateral", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R676 pay?

The current OHIP fee for R676 is $1187.50, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R676 to OHIP?

R676 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R676 claims against the Schedule of Benefits rules before submission.

What codes are related to R676?

Codes related to R676 in the Schedule of Benefits include R393.

All codes

R676

R676 – Forehead advancement - unilateral

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

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Performs a unilateral forehead advancement. This procedure is listed under Orbito-Cranial Surgery in the Musculoskeletal System section of the Schedule of Benefits. As specified on (), this procedure does not include bone grafts.

When to Use

Use R676 for unilateral forehead advancement procedures in patients with craniosynostosis or traumatic deformity where only one side of the frontal bone is being repositioned.
Select R676 when the procedure is performed as a standalone surgical intervention for unilateral correction, distinct from bilateral procedures which would require different coding.

Common Pitfalls

Billing R676 while simultaneously claiming for bone grafts is a common audit trigger, as the Schedule of Benefits explicitly states bone grafts are not included in this fee.
Attempting to bill R676 for bilateral forehead advancement will result in rejection or audit; bilateral procedures require the appropriate bilateral code or specific modifier usage as per the Schedule.
Failure to document the specific unilateral nature of the advancement in the operative report can lead to claims being downgraded or rejected during post-payment review.

Billing Tips

Ensure the operative report clearly describes the unilateral nature of the bone work to support the use of R676 over bilateral alternatives.
If bone grafting is required during the same session, ensure these are billed as separate, eligible procedures using the appropriate codes, as they are not bundled into the R676 fee.

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Provider Fee$1,187.50

Surgical Assistant Fee$150.12

Anaesthetist Fee$387.25

Non-Anaesthetist Fee$387.25

Effective: April 1, 2025

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