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M031
M031 – Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum reconstruction
OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
The listed benefit for this procedure includes the following elements, as outlined in the Surgical Preamble (, ):
• Pre-operative Care: Supervising the preparation of and/or preparing the patient for the procedure(s).
• Surgical Procedure: Performing the procedure(s), by any method, or assisting another physician in the performance of the procedure and carrying out appropriate recovery room procedures, being responsible for the transfer of the patient to the recovery room, ongoing monitoring and detention during the immediate post-operative and recovery period. This includes repair of any iatrogenic complications occurring during the course of the surgery performed by the same surgeon.
• Post-operative Care: Making arrangements for any related assessments or procedures, including obtaining any specimens from the patient and interpreting the results where appropriate. Making or supervising the making of arrangements for follow-up care, and post-procedure monitoring of the patient’s condition, including intervening, until the first post-operative visit. Routine post-operative care and visits for up to two weeks following surgery. The first two post-operative visits and the discharge visit (C124) are payable separately. Special visits required post-operatively are also payable separately.
• Major Pre-operative Visit: The consultation or assessment where the decision to operate is made is payable separately, regardless of the time interval between this visit and the surgery. See Surgical Preamble (, ) for full details.
• Patient Communication: Discussion with, providing any advice and information, including prescribing therapy, to the patient or patient’s representative, whether by telephone or otherwise, on matters related to the service.
• Resources: Providing premises, equipment, supplies and personnel for the specific elements.
The surgical benefit includes the generally accepted surgical components of the procedure.
If the operation is cancelled after surgery has commenced but prior to its completion, the service is eligible for payment under independent consideration (R990). Submit the claim with an operative report for review.
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