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R549
R549 – Ganglion - simple or complex
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Ganglion - simple or complex, listed under Soft tissue excision in the Hand and Wrist section () and under Soft Tissue in the Foot and Ankle section (). E831 (add 30%) may be claimed for use of skin grafts, or revision surgery (with or without skin grafts), to R549. Services listed under "Skin Flaps and Grafts" are not eligible for payment with R549.
All insured services must be documented in appropriate records. The Act requires that the record 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.
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