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R957 – Single level correction - circular external fixation

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

Single level correction - circular external fixation. Listed under Shoulder, Arm and Chest, Deformity, Osteotomy (page ), with the humerus, clavicle and glenoid osteotomy codes. Assistant 6 basic units and anaesthesia 6 basic units, plus time units. For double level correction see R958.
As per , 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.

The amount payable for the surgical assistant service (suffix 'B') is calculated by adding together the number of basic and time units and multiplying that total by the unit fee of $12.51. The number of basic units is the number of units listed opposite the service in the column headed with 'Asst'. Time units are calculated based on time spent assisting. (, )

The amount payable for the anaesthesia service (suffix 'C') is calculated by adding the number of basic and time units and multiplying the total by the anaesthesiologist unit fee of $15.49. The number of basic units is the number of basic units listed opposite the service in the column headed with 'Anae'. Time units are calculated based on time spent by the anaesthesiologist. (, )

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