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R509 – Patellar arthroplasty

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

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Patellar arthroplasty. This billing code represents a surgical procedure on the musculoskeletal system. The service is subject to general surgical billing rules, including the calculation of fees for assistants and anaesthetists based on basic and time units, and eligibility for various premiums such as after-hours and age-based add-ons.
The medical record must establish that: 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.
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