R684 OHIP code: Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/ or screw, drilling of defect or microfracture, and/or synovial biopsy

Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/ or screw, drilling of defect or microfracture, and/or synovial biopsy

Fee

Component	Value
Provider fee	$400.00
Assistant, listing; PDF p. 603	6 basic units
Anaesthesia, listing; PDF p. 603	10 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 603 / N23

Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/ or screw, drilling of defect or microfracture, and/or synovial biopsy ................................................................................. 6 400.00 10

Passages mentioning R684

PDF page 603 / N23

Note:
         1.A shoulder procedure listed in the Shoulder section of the Schedule performed
           arthroscopically is eligible for payment in addition to R684 if that procedure is not described
           as a component of R684 or described by an E-add-on code to R684.
         2.Arthroscopic E-add-on codes listed below are not eligible for payment in addition to R684
           when the service described by the E-code is a generally accepted component of a procedure
           described in Note #1.
# E478 Pinning of osteochondral fragment, to R684 .................... add                                 251.55
      Note:
      F-prefix fracture procedures are not eligible for payment with E478 for the same fracture.
# E484 Superior labral anterior posterior (SLAP) repair,
           to R684......................................................................... add 336.65
# E485 Arthroscopic capsular release for frozen shoulder,
          to R684......................................................................... add             240.50
      Payment rules:
      E484 is not eligible for payment in addition to R401.

Fee master record

Master, record 4909. Record Layout PDF, page 1.

R68420260401999999990000400000000000774600000000000000000159600000001596000

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	00004000000 / 400
assistant	00000774600 / 77.46
specialist	00000000000 / 0
anaesthetist	00001596000 / 159.6
non anaesthetist	00001596000 / 159.6

Explanation

AI-generated. Unreviewed.

This listing is for a shoulder arthroscopy set-up, under Arthroscopy in the Shoulder, Arm and Chest section. It includes, when done, debridement, synovectomy, removal of loose bodies and or screws, drilling of defect or microfracture, and or synovial biopsy.

Watch out for

Arthroscopic E-add-on codes are not eligible in addition to R684 when the service is a generally accepted component of a procedure in Note #1.

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