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R440 – Total hip replacement - acetabulum and femur

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

This service code represents a total hip replacement arthroplasty, which includes the replacement of both the acetabulum (hip socket) and the femoral component (thighbone). As a major surgical procedure, it includes anaesthesia services (10 base units) and may involve a surgical assistant (8 base units). Payment for a second surgical assistant is also permitted for this procedure without requiring special authorization.
If claiming the E420 trauma premium, the medical record must list the Injury Severity Score (ISS).
If a medical trainee is involved, specific documentation is required per .

Services where a second assistant's services are payable and authorization is not required: ... R440 ...

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