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E496 – Repair medial or lateral meniscus

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

Repair of the medial or lateral meniscus of the knee, which includes debridement of the attachment site when this is rendered. Trimming of a meniscus does not constitute this service.
In order to be eligible for payment, all insured services must be documented in appropriate medical records, establishing that the service was provided, is the service for which the account is submitted, and was medically necessary. An operative report is typically required for surgical procedures.

E495 is not eligible for payment in addition to E496 for the same meniscus.

Trimming of a meniscus does not constitute E495 or E496.

E489 and/or E494 and/or E498 are not eligible for payment in addition to E496 for debridement of attachment site.

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