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R503
R503 – Arthrotomy - ankle - removal of loose body
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Ankle arthrotomy involves a surgical incision into the ankle joint for the removal of a loose body. This fee code represents the professional service rendered by the surgeon (suffix A). Associated services such as surgical assistance (suffix B) and anaesthesia (suffix C) are eligible for separate payment and are calculated based on a system of basic and time units.
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.
In the surgical part of the Schedule, the required suffixes are: suffix A if the physician performs the procedure; suffix B if the physician assisted at the surgery; and suffix C if the physician administered the anaesthetic.
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