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R403 – Open reduction - repair of recurrent dislocation

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

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Patella - open reduction - repair of recurrent dislocation, with or without osteotomy (includes inspection of the joint). Listed under Musculoskeletal System Surgical Procedures, Knee. Assistant services are 6 basic units and anaesthesia services are 7 basic units, plus time units.
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.
An appropriate operative report is required.
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