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R993
R993 – Excision of unlisted tumours
OHIP Surgical Preamble Code — SURGICAL PREAMBLE · Schedule of Benefits
R993 is a code used for the excision of tumours not specifically listed in the Schedule of Benefits. As per , claims for R993 are made on an Independent Consideration (IC) basis. According to , services listed as IC are given independent consideration by a medical consultant. The claim must be submitted with a supporting letter explaining the fee, an operative or consultation report, and a comparison of the scope and difficulty of the procedure to comparable listed procedures.
Claims for such services must be submitted with a supporting letter explaining the amount of the fee claimed.
Must include an appropriate operative or consultation report.
Must include a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
For excision of tumours not specifically listed in this Schedule, claims should be made on an IC basis (code R993). Independent Consideration also will be given (under code R990) to claims for other unusual but generally accepted surgical procedures which are not listed specifically in the Schedule (excluding non-major variations of listed procedures). In submitting claims, physicians should relate the service rendered to comparable listed procedures in terms of scope and difficulty (see General Preamble ).
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