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R255
R255 – Patella - open reduction - late
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the late open reduction of the patella. This surgical procedure is typically performed for complex patellar fractures or dislocations that are not treated acutely. This service has fee allowances for the surgeon (A), surgical assistant (B), and anaesthesiologist (C). The fee for the assistant is calculated based on 6 basic units plus time units. The fee for the anaesthetist is calculated based on 7 basic units plus time units.
All insured services must be documented in appropriate records. The Act requires that the record 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.
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