R979 – Circular external fixation with multiple osteotomies
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure involving the application of a circular external fixation device with multiple osteotomies to correct foot and ankle deformities. A note in the Schedule of Benefits specifies that this service requires the application of tibial apparatus.
When to Use
- Use R979 specifically for complex foot and ankle deformity corrections requiring multiple osteotomies and the application of a circular external fixation device.
- Ensure the procedure involves the application of a tibial apparatus, as this is a mandatory requirement for this specific code.
Common Pitfalls
- Billing R979 without explicit documentation of the tibial apparatus application will lead to audit recovery or rejection.
- Confusing R979 with R977 or R978; ensure the complexity of multiple osteotomies is clearly documented to justify the higher fee associated with R979.
Billing Tips
- Always verify that the operative report explicitly details the multiple osteotomies performed to support the use of R979 over lower-complexity fixation codes.
- Ensure the tibial apparatus component is clearly described in the surgical notes to satisfy the specific documentation requirement found in the Schedule of Benefits.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
This requires the application of tibial apparatus.
* This requires the application of tibial apparatus.
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