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E485 – Arthroscopic capsular release for frozen shoulder

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

An add-on fee payable in addition to `R684` (Shoulder arthroscopy setup) for performing an arthroscopic capsular release for a frozen shoulder. This procedure is subject to the general rules for surgical procedures and arthroscopy as outlined in the Schedule. Per , this add-on is not payable if the capsular release is a generally accepted component of another shoulder procedure performed arthroscopically during the same session.

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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