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Z209
Z209 – Hip spica - bilateral
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This procedure covers the application of a bilateral hip spica cast. As per , this service is designated as a delegated procedure. The rules for delegated procedures, outlined in , state that this service can be performed by a physician's employee (e.g., nurse, medical assistant) in the physician's office without the physician being physically present, provided the following conditions are met:
• The non-physician performing the procedure is properly trained to perform the procedure, he/she reports to the physician, and the procedure is rendered in accordance with accepted professional standards and practice.
• The procedure is performed only on the physician's own patient, as evidenced by either an ongoing physician/patient relationship or a consultation/assessment rendered by the physician to the patient on the same day as the procedure is performed.
• The same medical record requirements must be met as if the physician personally had rendered the service. The record must be dated, identify the non-physician performing the service, and contain a brief note on the procedure performed by the non-physician.
As per the commentary on , claims are not payable for delegated services provided by an individual who is employed by a facility or organization such as a public hospital, public health unit, industrial clinics, long-term care facilities or Family Health Teams.
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