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P046 – Repair of fourth degree tear or episiotomy extension

OHIP Obstetrics Code — OBSTETRICS · Schedule of Benefits

Repair of fourth degree tear or episiotomy extension, must include repair of rectal mucosa, perianal sphincter and perineum.
The procedure must include repair of rectal mucosa, perianal sphincter and perineum.
Sex

Female

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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