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R680
R680 – Late correction traumatic enophthalmos, Tessier Technique - intracranial
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Late correction of traumatic enophthalmos using the Tessier Technique, which involves total periorbital stripping and bone grafts, performed via an intracranial approach.
When to Use
- Use R680 specifically for delayed surgical reconstruction of traumatic enophthalmos requiring an intracranial approach to access the orbit.
- Select this code when the Tessier technique is employed, involving extensive periorbital stripping and bone grafting, rather than the extracranial approach covered by R681.
Common Pitfalls
- Billing R680 for primary trauma repair is incorrect; this code is strictly for late-stage secondary reconstruction.
- Submitting R680 alongside standard orbital fracture repair codes like R681 will result in a rejection for duplicate or overlapping services.
Billing Tips
- Ensure the operative report explicitly details the intracranial approach and the use of the Tessier technique to justify the higher complexity fee compared to R681.
Provider Fee$1,997.05
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
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