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R323 – Pseudoarthrosis - radius or ulna

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Pseudoarthrosis - radius or ulna, listed under Elbow and Forearm - Reconstruction - Bone - Pseudoarthrosis in the Musculoskeletal System section. Assistant (B) has 6 basic units and anaesthesia (C) has 7 basic units, plus time units.
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
The medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For trauma premium eligibility, the medical record must list the Injury Severity Score (ISS).

The service of a second surgical assistant for R323 requires authorization by a medical consultant following submission of a letter from the surgeon outlining the reason the second assistant was required.

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