What is OHIP billing code R690?

R690 is "Skin allograft procurement for banking purposes", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R690 pay?

The current OHIP fee for R690 is $17.25, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R690 to OHIP?

R690 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R690 claims against the Schedule of Benefits rules before submission.

All codes

R690

R690 – Skin allograft procurement for banking purposes

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

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This service is for the procurement of skin allograft for banking purposes. The surgical fee (R690A) is calculated per percentage of total body area harvested. The service explicitly excludes harvesting from the hand, head, or neck. - Assistant services (R690B) are eligible for payment with 7 base units plus applicable time units. - Anaesthesia services (R690C) are eligible for payment with 7 base units plus applicable time units.

When to Use

Use R690A when harvesting skin allograft specifically for banking purposes, ensuring the harvest site is not the head, neck, or hand.
Use R690B for surgical assistant services during the procurement, which allows for 7 base units plus time units.
Use R690C for anaesthesia services during the procurement, which allows for 7 base units plus time units.

Common Pitfalls

Attempting to bill R690 for harvesting from the head, neck, or hand will result in a rejection as these sites are explicitly excluded.
Failure to document the specific percentage of total body area harvested will lead to audit risks, as the fee is calculated per percentage.
Incorrectly applying after-hours premiums (E409, E410) to elective banking procedures, as these premiums are restricted to non-elective or delayed elective cases.

Billing Tips

Ensure the percentage of total body area harvested is clearly stated in the operative report to justify the fee calculation for R690A.
When billing R690B or R690C, verify that the base units (7) are correctly added to the time units before applying any applicable percentage-based premiums like E400B or E400C.

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Provider Fee$17.25

Surgical Assistant Fee$87.57

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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