R258 OHIP code: middle proximal or metacarpal

Fee

Component	Value
Provider fee	$289.80
Assistant, listing; PDF p. 592	6 basic units
Anaesthesia, listing; PDF p. 592	7 basic units

Schedule and sources

Fee edition: October 1, 2026
Record effective: 2026-04-01
Schedule edition: July 22, 2026; effective July 1, 2026
Official files: Fee master Schedule PDF Ontario source page

PDF page 592 / N12

- middle proximal or metacarpal ........................................... 6 289.80 7

Passages mentioning R258

PDF page 592 / N12

Bone - Pseudoarthrosis/non-union/avascular necrosis
# R321 Phalanx, metacarpal ...............................................................       6 392.90 7
# R322 Scaphoid................................................................................. 6 768.15 6
# R345 Carpal bone, other than scaphoid...........................................               6 260.75 6
# E497    - pedicled vascularized bone graft, to R322 or R345 ... add                              526.40
      Note:
      1.R322 and R345 must include fixation and a non-vascularized bone graft.
      2.E497 is payable in addition to R322 and R345 if a pedicled vascularized bone graft is used in
        addition to, or in place of a non-vascularized bone graft.
      3.F019 and Z279 rendered in conjunction with R322 and R345 are not eligible for payment.
    Bone - Deformity
      Osteotomy - phalanx
# R257 - terminal...............................................................................                  162.65          6
# R258 - middle proximal or metacarpal ...........................................                      6         289.80          7
# E591    - each additional........................................................... add                        158.65

Fee master record

Master, record 4492. Record Layout PDF, page 1.

R25820260401999999990000289800000000774600000000000000000111720000001117200

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

Field	Raw / scale 10,000
provider	00002898000 / 289.8
assistant	00000774600 / 77.46
specialist	00000000000 / 0
anaesthetist	00001117200 / 111.72
non anaesthetist	00001117200 / 111.72

Explanation

AI-generated. Unreviewed.

This listing covers the middle, proximal or metacarpal bones, under osteotomy of the phalanx in the hand and wrist reconstruction part of the musculoskeletal surgical procedures section.

Watch out for

Listed as middle proximal or metacarpal

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