All codes
R442
R442 – Replacement Liner
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Replacement Liner
All insured services must be documented in appropriate records to 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.
For anaesthesia services, time units are calculated based on the time the anaesthesiologist is in attendance with the patient in the OR. Each anaesthesiologist must indicate their starting and finishing times in the medical record.
For surgical assistant services, time is calculated from direct contact with the patient in the OR until the assistant is no longer required. For replacement assistants, start and stop times must be documented in the patient's permanent medical record.
When more than one assistant is required for a surgical procedure, and the service is not on the pre-approved list (R442 is not on this list), the second assistant's service is only eligible for payment following authorization by a medical consultant and requires submission of a letter from the surgeon outlining the reason the second assistant was required.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.