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R602
R602 – Pollicization
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This fee code is for a surgical procedure on the musculoskeletal system. Payment for the surgeon (suffix A) is a set fee that includes pre-operative, intra-operative, and post-operative care as defined in the Schedule of Benefits.
Services for a surgical assistant (suffix B) and an anaesthesiologist (suffix C) are calculated separately based on a combination of basic units assigned to the procedure and time units.
• For rules on calculating surgical assistant fees, see pages -.
• For rules on calculating anaesthesiologist fees, see pages -.
An appropriate operative report must be included in the patient's medical record.
All insured services must be documented in appropriate records that establish:
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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