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M105 – Chest wall tumour, resection

OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

Chest wall tumour, resection of 2 or more ribs, with or without costal cartilage, or, wide resection of one rib, with or without costal cartilage for malignant or suspected malignant chest wall tumour. M105 is not eligible for payment when rib resection is required as part of surgical exposure for another procedure, or for incisional biopsy of a chest wall tumour. Reconstruction of the diaphragm requiring repair with mesh or equivalent synthetic material may be claimed with E847.

Payment for this surgical procedure includes pre-operative care for 1-2 days prior to surgery and post-operative care for up to two weeks following the procedure. However, the first and second post-operative visits in hospital and the day-of-discharge visit (C124) are payable separately at the specialty-specific subsequent visit fee.

The major pre-operative visit (the consultation or assessment where the decision to operate is made) is not included in the surgical fee and can be claimed separately, regardless of the time interval before surgery.

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