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F045 – Transcondylar/condylar - closed reduction with traction

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

F045 is a surgical procedure for transcondylar/condylar closed reduction with traction. The fee payable to the surgeon (suffix A) includes the procedure and associated pre-operative and post-operative care. The amount payable for a surgical assistant (suffix B) or anaesthesiologist (suffix C) is calculated by adding basic units (specific to the procedure) and time units, then multiplying by the respective unit fee. For detailed rules on calculating assistant and anaesthesia fees, including time units, refer to the 'Surgical Assistants' Services' section () and 'Anaesthesiologists' Services' section () of the Schedule.
All insured services must be documented in appropriate records to establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For services rendered by a Medical Trainee under supervision, the medical record must identify the Supervising Physician, the Medical Trainee and level of training, the service performed, and patient consent. The Supervising Physician must sign off on the service or the Medical Trainee must document the discussion with the Supervising Physician.

In the surgical part of the Schedule, the required suffixes are: 'A' if the physician performs the procedure; 'B' if the physician assisted at the surgery; and 'C' if the physician administered the anaesthetic.

A service rendered by a Medical Trainee is only eligible for payment to the Supervising Physician subject to specific requirements for supervision, presence, and documentation as outlined in the Schedule.

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