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F032
F032 – Radius and ulna - Monteggia - closed reduction
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code is for a surgical procedure within the Musculoskeletal System section of the OHIP Schedule of Benefits. As a surgical procedure, it is billable with suffix 'A' by the performing surgeon. Assistant (suffix 'B') and anaesthesia (suffix 'C') services are also payable and are calculated using basic and time units as described in the General Preamble (, ). This service may be eligible for various add-on premiums, including age-based premiums (), after-hours procedure premiums for non-elective cases (), and the trauma premium (). All general rules for insured services, medical documentation (), and surgical services () apply.
All insured services must be documented in appropriate records. The Act requires that the record establish that:
1. an insured service was provided;
2. the service for which the account is submitted is the service that was rendered; and
3. the service was medically necessary.
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