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R468
R468 – Arthrodesis of knee
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Knee
The medical record must establish that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary, as per the Act.
For anaesthesia extra units, the medical record must document the specific condition justifying the extra units (e.g., ASA level, BMI, position, age).
If a second assistant is used, a letter from the surgeon outlining the reason the second assistant was required must be submitted for authorization.
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