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E345

E345Temporal bone resection

OHIP Surgical Assists Code — Y. Ocular and Aural Surgical Procedures · Schedule of Benefits

Temporal bone resection is a surgical procedure listed under the Inner Ear Repair sub-section of the Ocular and Aural Surgical Procedures section of the Schedule. The listed fee for the surgeon (suffix A) is $1379.10. See the unitBasedInfo section for details on assistant and anaesthesia fee calculations.

When to Use

  • Use E345 for formal resection of the temporal bone, distinguishing it from simpler mastoidectomy procedures like E331 or E332.
  • Select E345 when the surgical intent and operative report confirm a formal resection of the temporal bone structure, rather than limited debridement or biopsy.

Common Pitfalls

  • Billing E345 in conjunction with other ear procedures without ensuring the services are not considered 'included' or 'incidental' under the General Preamble rules for multiple procedures.
  • Failing to document the specific extent of the resection, which can lead to audit reclassifications if the procedure performed is found to be a less complex mastoid surgery (e.g., E331).

Billing Tips

  • Ensure that if an assistant is required, the assistant's claim (suffix B) is submitted with the appropriate time units, as E345 is a major procedure that typically justifies surgical assistance.
Provider Fee$1,379.10
Surgical Assistant Fee$125.10
Anaesthetist Fee$232.35
Non-Anaesthetist Fee$232.35

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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