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E971
E971 – LeFort I cleft palate - closure alveolar fistula with or without bone graft
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on surgical procedure performed in conjunction with a LeFort I osteotomy for cleft palate (e.g., R580). The service involves the closure of an alveolar fistula, which can be performed with or without the use of a bone graft. The fee for this service is paid in addition to the primary surgical procedure. The note on page indicates that harvesting and grafting of bone or cartilage grafts is included in the fee for the primary procedures marked with an asterisk, which are in the same surgical category.
Standard operative report detailing the procedure performed.
As per , the medical record must establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary.
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