R910 – Neck lymph nodes - limited dissection
OHIP Radiology Code — HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure involving the limited dissection of neck lymph nodes. The procedure must include at least two levels on one side (unilateral) or the central compartment. This fee code is for the surgeon's service (suffix 'A'). - Assistant Fee (suffix 'B'): Calculated using 10 base units plus time units as per rules on -. - Anaesthesia Fee (suffix 'C'): Calculated using 7 base units plus time units as per rules on -.
When to Use
- Use R910 for a unilateral neck dissection involving at least two levels, which is the minimum requirement for this code.
- Use R910 for a central compartment neck dissection, provided the surgical scope meets the anatomical definition of the procedure.
- Choose R910 when the procedure is less extensive than a radical neck dissection (R912) or a comprehensive neck dissection (R913).
Common Pitfalls
- Billing R910 for procedures involving only a single lymph node level, which does not meet the 'at least two levels' requirement.
- Attempting to bill R910 in conjunction with R912 or R913 for the same side, which constitutes unbundling and will result in claim rejection.
- Failing to document the specific levels dissected, which is necessary to justify the use of R910 over a lesser excision code.
Billing Tips
- Ensure the operative report explicitly lists the levels dissected (e.g., Level II and III) to support the R910 claim during potential audits.
- If performing a bilateral procedure, ensure the second side is billed with the appropriate bilateral indicator or suffix as per the Schedule of Benefits to avoid automatic rejection.
Effective: April 1, 2025
R. Haematic and Lymphatic Surgical Procedures
HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES
Surgical
Haematic and Lymphatic Surgical Procedures
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