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R915
R915 – Neck lymph nodes - comprehensive dissection
OHIP Radiology Code — HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the comprehensive unilateral dissection of neck lymph nodes. This procedure must include the excision of nodes from three or more anatomical levels.
When to Use
- Use R915 for a formal radical or modified radical neck dissection where lymph nodes are cleared from three or more distinct anatomical levels (e.g., levels I-V).
- Select R915 when the procedure is a comprehensive unilateral clearance, distinguishing it from the more limited R910 (suprahyoid neck dissection) or R912 (radical neck dissection, limited).
Common Pitfalls
- Billing R915 when only one or two anatomical levels are addressed; this is a common audit trigger that results in downcoding to a less comprehensive procedure code.
- Failing to clearly document the specific anatomical levels dissected in the operative report, which is required to substantiate the 'comprehensive' nature of the procedure.
Billing Tips
- Ensure the operative note explicitly lists the levels (e.g., I, II, III, IV, V) to satisfy the 'three or more levels' requirement for R915.
- If performing bilateral neck dissections, bill the primary side as R915 and consult the Schedule of Benefits for the appropriate reduction rule for the secondary side.
Provider Fee$1,120.80
Surgical Assistant Fee$125.10
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
Effective: April 1, 2025
Category
R. Haematic and Lymphatic Surgical Procedures
Subcategory
HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Haematic and Lymphatic Surgical Procedures
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