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P045
P045 – Repair of third degree tear or episiotomy extension
OHIP Obstetrics Code — OBSTETRICS · Schedule of Benefits
Provides payment for the repair of a third-degree tear or episiotomy extension. This service must include the repair of the perianal sphincter and the perineum. This service is distinct from repairs of second-degree tears (e.g., superficial transverse perineal muscle) or tears not extending to the sphincter, which are considered integral to the main labour and delivery services (P006, P020) and are not separately billable as P045.
1. Repair of a tear or episiotomy extension that does not extend into the perianal sphincter (third degree) is included in the labour and delivery fee (P006 and P020) and does not constitute P045 or P046.
2. Repair of the superficial transverse perineal muscle constitutes a repair of a second degree tear or episiotomy extension and does not constitute P045 or P046.
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