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R619 – Terminal Symes

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

A Terminal Symes amputation (R619) is a surgical procedure involving the disarticulation of the foot at the ankle while preserving the heel pad. This service is categorized under musculoskeletal procedures for the foot and ankle. The amount payable to the surgeon is a set fee, while fees for the surgical assistant and anaesthesiologist are calculated based on basic and time units. This procedure is assigned 6 base units for anaesthesia (<suffix>C</suffix>) and 6 base units for a surgical assistant (<suffix>B</suffix>).
All insured services must be documented in appropriate records to 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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