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R554
R554 – Silicone rod insertion - one
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Performs the insertion of a silicone rod. This service is claimed with suffix 'A' by the operating surgeon. The fee includes pre-operative evaluation on the day of surgery and routine post-operative care. As a surgical procedure, services of a surgical assistant (claimed with suffix 'B') and an anaesthesiologist (claimed with suffix 'C') are separately billable as per the rules in the General Preamble. An additional silicone rod insertion can be billed with E051. When more than one assistant is required for this surgical procedure, 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, as R554 is not exempt from this requirement as per page of the Schedule.
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.
E645M111M112M117M134M142P042P051P052P056P059R008R009R013R014R015R016R055R056R064R065R067R069R134R135R136R140R182R240R241R244R326R327R334R393R438R440R441R483R487R545R553R568R593R594R617R645R701R702R704R712R713R714R715R718R726R727R728R729R733R734R735R737R738R742R743R746R747R749R764R770R771R772R785R786R799R800R801R802R803R804R811R815R817R818R830R832R858R863R870R872R874R876R877R927R929R920R930S005S007S079S090S091S092S096S098S099S120S125S189S213S214S267S270S271S274S275S294S295S298S300S321S416S429S440S441S453S454S462S484S750S758S759S816D043D046D047D052D060F135N539N540R732R773R774S210S211S757
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