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R411 – Arthrotomy - shoulder

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

Arthrotomy - shoulder. Listed under Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, and also as the code for open joint biopsy and incision and drainage of a joint in that section. Assistant services are 6 basic units and anaesthesia services are 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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