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E382
E382 – Spinal duroplasty
OHIP Surgical Assists Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
Spinal duroplasty using autologous/allogenic/synthetic tissue. This service is an add-on procedure payable with various primary spinal surgeries. It is listed as applicable to anterior spinal decompression (page ), intradural tumour removal (N560, N561) on page , intradural neurolysis (N562) on page , and repair of meningocoele or myelomeningocoele on page . The fee is listed as $244.80 in the schedule text.
When to Use
- Use E382 when performing a duraplasty during an intradural tumour removal (N560 or N561) to manage a dural defect.
- Apply this code when performing a duraplasty as part of an anterior spinal decompression procedure where the dura has been opened or compromised.
- Use E382 during the surgical repair of a meningocoele or myelomeningocoele when a formal duraplasty is required to ensure closure.
Common Pitfalls
- Billing E382 as a standalone procedure; it is strictly an add-on and will be rejected if not submitted with a qualifying primary spinal surgery code.
- Attempting to bill E382 for simple dural repair or primary closure, which is typically considered inclusive in the primary procedure code.
- Failing to ensure the primary procedure code is one of the specific sections listed in the Schedule of Benefits (Z3, Z11, Z16, or Z17) for which E382 is designated as an add-on.
Billing Tips
- Ensure E382 is submitted on the same claim as the primary spinal surgery to avoid rejection for missing the base procedure.
- Apply relevant age premiums (e.g., for patients under 16) to the E382 fee, as it is a surgical procedure listed in the Z section of the Schedule of Benefits.
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