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R719

R719R719

OHIP Radiology Code · Schedule of Benefits

Ankle arthrodesis

When to Use

  • Use R719 for definitive surgical fusion of the ankle joint when addressing end-stage post-traumatic or degenerative arthritis.
  • Select R719 when the procedure involves formal arthrodesis, distinguishing it from simple debridement or arthroscopic procedures that may fall under different surgical categories.

Common Pitfalls

  • Attempting to bill R719 alongside R475 (Ankle arthroscopy) for the same side on the same day will result in an automatic rejection.
  • Billing R719 in conjunction with R695 (Ankle reconstruction) is prohibited; ensure you are not unbundling these procedures, as they are mutually exclusive for the same side.

Billing Tips

  • Since R719 includes neurovascular exploration and tenolysis, do not attempt to bill these components separately as they are considered integral to the primary procedure.
Provider Fee$833.45
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Service Type

Surgical

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