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E484 – Superior labral anterior posterior (SLAP) repair

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

Superior labral anterior posterior (SLAP) repair is an add-on procedure payable in addition to `R684` (Shoulder arthroscopy setup). Payment Rules: E484 is not eligible for payment in addition to `R401. **Note:** Arthroscopic E-add-on codes are not eligible for payment in addition to R684` when the service described by the E-code is a generally accepted component of another shoulder procedure performed arthroscopically (see ).

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`.

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.

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