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R416 – Rotator cuff exploration

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

Rotator cuff exploration includes acromioplasty, excision of coraco-acromial ligament and subacromial bursa but excludes simple excision of clavicle. Unit Information: • Assistant Fee (`B` suffix): This service is eligible for an assistant fee calculated based on 6 basic units plus time units. See and for calculation rules. • Anaesthesia Fee (`C` suffix): This service is eligible for an anaesthesia fee calculated based on 10 basic units plus time units. See and for calculation rules. Payment Rules: • When R416 is rendered in association with R298, R416 is payable at 85% and R298 is payable at 100%.

When R416 is rendered in association with R298, R416 is payable at 85% and R298 is payable at 100%.

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