All codes
E326
E326 – Facial nerve grafting
OHIP Surgical Assists Code — Y. Ocular and Aural Surgical Procedures · Schedule of Benefits
Facial nerve grafting is a surgical procedure to repair a damaged facial nerve using a nerve graft. This service explicitly includes the decompression of the facial nerve as part of the procedure. The fee is for the surgeon (A suffix), and the procedure is eligible for separate assistant (B suffix) and anaesthesia (C suffix) services, which are calculated based on basic and time units.
When to Use
- Use E326 when performing a formal nerve graft to repair a damaged facial nerve, as the fee explicitly encompasses the required decompression of the nerve.
- Select E326 for reconstructive procedures where the primary objective is the restoration of facial nerve continuity via grafting, distinguishing it from simple decompression procedures that do not involve grafting.
Common Pitfalls
- Do not bill separate decompression codes alongside E326, as the Schedule of Benefits explicitly states that decompression is included in the E326 fee.
- Avoid billing E326 for simple nerve repair or suturing if a graft is not utilized, as the code specifically requires the use of a graft to be valid.
Billing Tips
- Ensure that the surgical report clearly documents the use of a nerve graft to support the E326 claim, as this is the defining component of the procedure.
- When applicable, remember to append the appropriate age-based premium (e.g., AGE_PREMIUM_LT16Y) to the surgeon, assistant, and anaesthetist claims to maximize the fee.
Provider Fee$987.65
Surgical Assistant Fee$75.06
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
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
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