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P034
P034 – Uterine inversion, manual replacement
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
Uterine inversion, manual replacements is a surgical procedure to manually correct an inverted uterus. The fee for the surgeon is a flat rate, while the anaesthetist's fee is calculated based on base units plus time units.
When to Use
- Use P034 specifically for the manual reduction of an acute uterine inversion occurring in the immediate postpartum period.
- Select this code when the procedure is performed manually without the requirement for a formal laparotomy or laparoscopy to facilitate the replacement.
Common Pitfalls
- Do not bill P034 in conjunction with a standard vaginal delivery code if the inversion occurred as a direct, non-separate complication of the delivery process, as it may be considered part of the global obstetrical fee.
- Avoid billing P034 if the reduction required surgical intervention via laparotomy, as this would necessitate a different surgical code rather than the manual replacement fee.
Billing Tips
- Ensure the operative note explicitly describes the manual technique used to replace the uterus to justify the use of P034 over other surgical codes.
- If the procedure is performed after hours, ensure you append the appropriate premium (E409 or E410) to the P034 claim to maximize the procedural fee.
Provider Fee$125.75
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
K. Obstetrics
Subcategory
OBSTETRICS
Service Type
Surgical
Code Classes
Obstetrics, Diagnostic and Therapeutic Procedures
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