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E481 – Osteochondroplasty

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

E481 is an add-on for osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect). It is listed as an add-on to elbow arthroscopy R683 (Elbow and Forearm, ) and to ankle arthroscopy R688 (Foot and Ankle, ). Payment rules: • With R683, only one of E481, E482 or E483 is eligible for payment same patient same day, and osteochondroplasty less than 2 hours in duration is included in R683 (). - With R688, only one of E481 or E483 is eligible for payment same patient same day (). - Arthroscopic E-add-on codes are not eligible for payment in addition to R683 when the service described by the E-code is a generally accepted component of an elbow procedure claimed in addition to R683 ().
The medical record must document that the resection for the osteochondroplasty required a minimum of 2 hours.

From (Elbow): Osteochondroplasty less than 2 hours in duration is included in R683.

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