Billing code
R592A — Tumours - Soft Tissues - Deep
Deep soft tissue tumour excision
Bill R592 for excision of a deep soft tissue tumour; the visit where you decided to operate is billed separately.
Watch for: Bill R592 only for a deep tumour; a superficial one is R591.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $484.35 | $0.00 | $77.46 | $111.72 | $111.72 |
- Code
- R592A
- Description
- Tumours - Soft Tissues - Deep
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Excision of a deep soft tissue tumour, from the elbow and forearm surgery listings. The decision-to-operate visit is billed separately.
What it covers
R592 is excision of a deep soft tissue tumour, listed under Excision, Tumours, Soft tissues in the Elbow and Forearm part of the Musculoskeletal System Surgical Procedures section (N18). A superficial soft tissue tumour is R591 (N18).
As a surgical procedure without a Z prefix, the fee includes preparing the patient, the operation, recovery-room care, arranging follow-up and post-operative care until the first post-operative visit (SP1). It is marked #: the fee doesn't include the premises, equipment, supplies and staff for the procedure itself (SP1).
Billing rules
- Bill R592 only for a deep tumour; a superficial one is R591 (N18).
- The major pre-operative visit (the consultation or assessment where the decision to operate is made) is billed separately; it isn't part of the surgical fee (GP4, SP2).
- The surgeon can't bill a hospital or day-care admission assessment unless it is the major pre-operative visit (SP2).
- Surgical assistant: 6 basic units plus time units (R592B); anaesthetist: 7 basic units plus time units (R592C) (N18, GP85, GP92, SP5).
- With other procedures under the same anaesthetic, the major procedure is paid in full and the others at 85% (SP2).
- Excision of a tumour not specifically listed in the Schedule is claimed as R993 on an independent consideration basis (SP4).
- Age premiums apply to patients under 16, from 10% (ages 5 to 15) up to 30% (under 30 days) (GP64).
Often billed with
- A034 partial assessment (General Surgery) when it is the major pre-operative visit, billed in addition to the surgical fee (GP4, SP2).
Related codes: R591, R523, R524, R293, R295, R993
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Elbow and Forearm, Excision - Tumours - Soft tissues, page N18; Surgical Preamble SP1-SP5; General Preamble GP4, GP64, GP85
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