All codes
R966
R966 – Bone transport - circular external fixation (greater than 6 cm)
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the reconstruction of the femur via bone transport using a circular external fixation device, specifically for cases where the transport segment is greater than 6 cm. This surgical procedure includes the application and management of the external fixation apparatus.
When to Use
- Use R966 specifically for femoral reconstruction involving bone transport with a circular external fixator where the transport segment length exceeds 6 cm.
- Select R966 when the procedure involves the complex application and management of a circular frame for limb lengthening or bone defect management in the femur, distinguishing it from smaller transport segments covered under R965.
Common Pitfalls
- Billing R966 when the transport segment is 6 cm or less, which should instead be billed under R965; ensure the operative report explicitly documents the segment length to justify the higher fee.
- Failing to document the specific anatomical location (femur) and the circular nature of the fixation, which can lead to audit rejections if the claim is indistinguishable from standard external fixation codes like R262 or R215.
- Attempting to bill for the routine management of the external fixator as separate office visits; the fee for R966 is comprehensive and includes the application and management of the apparatus.
Billing Tips
- Always verify the Injury Severity Score (ISS) documentation if applying the E420 trauma premium, as this is a high-scrutiny code for orthopedic trauma cases.
- Ensure the operative report clearly differentiates the bone transport procedure from any concurrent procedures (such as osteotomy or bone grafting) to support potential claims for additional surgical fees.
Provider Fee$763.80
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.