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E307
E307 – Congenital defects, External - minor
OHIP Surgical Assists Code — Y. Ocular and Aural Surgical Procedures · Schedule of Benefits
This service covers the minor surgical repair of congenital defects of the external ear. As per the note on page , descriptive details of the procedure, such as an operative report, must be submitted with the claim for professional assessment.
When to Use
- Use E307 for the surgical correction of minor congenital external ear anomalies such as preauricular tags or minor accessory auricles.
- Select E307 when the procedure is limited to external ear structures, distinguishing it from more complex reconstructive codes like E308 for major congenital defects.
Common Pitfalls
- Failure to attach an operative report or detailed procedure note will result in an automatic rejection or a request for manual assessment.
- Billing E307 for acquired ear lesions or trauma-related repairs is incorrect; those services fall under different procedural codes.
- Neglecting to apply the appropriate age-based surgical premium for patients under 16 years of age results in significant underpayment.
Billing Tips
- Always include the operative report as an attachment to the claim to avoid the delay of a manual review process.
- Ensure the patient's age is clearly documented to trigger the automatic age-based fee premium for surgical procedures.
Provider Fee$219.60
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
Y. Ocular and Aural Surgical Procedures
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
Descriptive details of procedure (e.g., operative report) should be submitted with claims for professional assessment.
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