OHIP fee codeR475

Ankle and subtalar fusion with or without additional midtarsal(s), one stage

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · ARTHRODESIS

$1,250.20

What this reference tells you

R475 identifies the Ontario insured service described as “Ankle and subtalar fusion with or without additional midtarsal(s), one stage.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

5.R475 is not eligible for payment for treatment of acute (< 6 weeks from injury) ankle and/or subtalar fractures.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.