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E306

E306Radical surgery for perichondritis

OHIP Surgical Assists Code — AURAL SURGICAL PROCEDURES · Schedule of Benefits

Radical surgery for perichondritis. This procedure is performed on the external ear. This service is denoted with a '#' prefix which indicates that when performed in a hospital or Integrated Community Health Services Centre (ICHSC), the cost of premises, equipment, supplies, and personnel are included in the facility's funding and cannot be billed to the patient. See for details. Note: As per the 'External Ear' section preamble on (), when debridement of ears under microscopy is carried out for access purposes only, no claim should be made for the debridement.

When to Use

  • Use E306 when performing extensive surgical debridement or excision of necrotic cartilage in cases of severe perichondritis that exceed the scope of simple incision and drainage.
  • Select E306 instead of E305 when the procedure involves radical removal of infected tissue rather than simple drainage of an abscess.

Common Pitfalls

  • Billing for ear debridement under microscopy as a separate procedure is prohibited when it is performed solely for access to the surgical site during E306.
  • Attempting to bill for a surgical assistant using suffix 'B' will result in an automatic rejection, as this code requires a manual submission of M400B with supporting documentation for independent consideration.

Billing Tips

  • If a surgical assistant is medically necessary, ensure the surgeon's letter explicitly justifies the complexity to meet the requirements for the 7 basic units allowed under M400B.
Provider Fee$291.50
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Category

Y. Ocular and Aural Surgical Procedures

Subcategory

AURAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Ocular and Aural Surgical Procedures

When debridement of ears under microscopy is carried out for access purposes only, no claim should be made for the debridement.

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