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M032
M032 – Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum to include total take down of cleft lip
OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
Rhinoplasty for reconstruction of cleft lip - tip and septum to include total take down of cleft lip. As a surgical procedure, it is subject to the rules outlined in the Surgical Preamble ( to ) and the General Preamble. This includes rules for pre-operative and post-operative care, billing for multiple procedures, and eligibility for various premiums.
All insured services must be documented in appropriate records that 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.
An appropriate operative or consultation report must be included with the claim.
Note: The master record for M032 indicates an assistant fee of $0.00. Per , where 'nil' is listed for an assistant fee, the assistant's service is not eligible for payment. Therefore, suffix 'B' should not be used.
Unless otherwise stated, the listed benefits are for unilateral procedures only.
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