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R421 – Synovectomy/capsulectomy/debridement

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

Synovectomy/capsulectomy/debridement, etc. R421 is a surgical procedure listed in the Musculoskeletal System section of the Schedule of Benefits. As a major surgical procedure, payment is eligible for the surgeon (suffix A), a surgical assistant (suffix B), and an anaesthetist (suffix C). The fees for assistants and anaesthetists are calculated based on a combination of basic units and time units, as detailed in the General Preamble (-). Various premiums may apply, including those for age (), after-hours services (, , ), and trauma ().
Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon
All insured services must be documented in appropriate records that establish: 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.

The information in this record is derived from the Master Fee Record and the General Preamble rules applicable to all surgical procedures.

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