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E376
E376 – Posterior interbody arthrodesis - each additional disc level stabilized
OHIP Surgical Assists Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
This code represents an add-on for the stabilization of each additional disc level using a posterior interbody implant, graft, or nuclear replacement. It is intended to be used in conjunction with E372, which covers the first disc level. E372 itself is an add-on to posterior spinal arthrodesis procedures (N511, N512, or N513).
When to Use
- Use E376 for each additional disc level beyond the first when performing a multi-level posterior interbody arthrodesis.
- Apply this code only when an interbody implant, structural graft, or nuclear replacement is placed at the additional level in conjunction with the primary E372 procedure.
Common Pitfalls
- Billing E376 for levels where only posterolateral fusion (e.g., N511, N512, N513) was performed without an interbody component.
- Attempting to claim E376 alongside N540 or E389 for the same spinal level, which will trigger an automatic rejection.
- Submitting E376 without a corresponding E372, as E376 is strictly an add-on code for subsequent levels.
Billing Tips
- Ensure the operative report explicitly documents the interbody stabilization technique for every level claimed under E376 to satisfy audit requirements.
- Always sequence E372 first, followed by the appropriate number of E376 units for the additional levels, ensuring the total count matches the documented levels.
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