What is OHIP billing code R965?

R965 is "Bone transport - circular external fixation (less than or equal to 6 cm)", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R965 pay?

The current OHIP fee for R965 is $655.15, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R965 to OHIP?

R965 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R965 claims against the Schedule of Benefits rules before submission.

What codes are related to R965?

Codes related to R965 in the Schedule of Benefits include R963, R964, R966.

All codes

R965

R965 – Bone transport - circular external fixation (less than or equal to 6 cm)

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

Ask AI Bill This Code — Sign Up Free

This is a reconstructive surgical procedure performed on the femur. It involves bone transport, a technique to regenerate bone and replace segments lost to trauma or disease, using a circular external fixation device. This specific code is used when the bone transport segment is less than or equal to 6 cm.

When to Use

Use R965 for femoral bone transport procedures utilizing circular external fixation where the total segment length being transported is 6 cm or less.
Select R965 when the primary surgical objective is limb reconstruction via distraction osteogenesis for segmental bone loss, provided the transport distance meets the 6 cm threshold.

Common Pitfalls

Billing R965 when the transport distance exceeds 6 cm; for distances greater than 6 cm, you must use the appropriate higher-tier code (e.g., R966) to avoid audit recovery.
Attempting to bill R965 in conjunction with other major reconstructive procedures without verifying if the secondary procedure is considered 'included' in the global surgical fee of the primary transport.
Failure to document the specific length of the bone transport segment, which is the mandatory clinical justification for selecting the R965 code over other R-series transport codes.

Billing Tips

Ensure the operative note explicitly states the measured length of the bone transport segment to support the selection of R965 during potential post-payment audits.
If performing bilateral procedures or multiple musculoskeletal interventions under the same anaesthetic, remember that assistant (suffix B) and anaesthetist (suffix C) units are restricted to the major procedure only.

Have a specific question? Ask our billing assistant

Provider Fee$655.15

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in