R658LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement*
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · ORBITO-CRANIAL SURGERY
$2,928.10What this reference tells you
R658 identifies the Ontario insured service described as “LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement*.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
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Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.