R594complex (includes implantation into bone, and as required, acromioplasty, excision of coraco-acromial ligament, subacromial bursa and excision of distal clavicle)
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · SHOULDER, ARM AND CHEST
$498.30What this reference tells you
R594 identifies the Ontario insured service described as “complex (includes implantation into bone, and as required, acromioplasty, excision of coraco-acromial ligament, subacromial bursa and excision of distal clavicle).” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- When more than one assistant was required for a surgical procedure, unless the service is listed below, the second assistant's service is only eligible for payment following authorization by a medical consultant and requires submission of a letter from the su...
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.