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D025
D025 – Acromio-clavicular/sterno-clavicular - closed with anaesthetic
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service involves the closed, non-operative manipulative reduction of a dislocation of either the acromio-clavicular or sterno-clavicular joint, a procedure that requires anaesthesia. The fee for the primary surgical procedure is claimed with suffix A. This service is also eligible for payment for a surgical assistant (suffix B) and an anaesthetist (suffix C), with fees calculated based on basic and time units specified in the Schedule.
All insured services must be documented in appropriate records to establish that:
• an insured service was provided;
• the service for which the account is submitted is the service that was rendered; and
• the service was medically necessary.
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