E387 – Spinopelvic fixation with iliac or S2 alar-iliac screws
OHIP Surgical Assists Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
This code represents an additional fee for a fusion to the sacrum when performed with a thoracic or lumbar posterior spinal arthrodesis, with or without instrumentation, or for scoliosis correction. It is payable in addition to the following primary procedures: - Posterior spinal arthrodesis with instrumentation following decompression or osteotomy by the same surgeon (N511, N512, N575, N576, N560, N561). - Posterior spinal arthrodesis with instrumentation by a separate surgeon (N513). - Lumbar posterior spinal arthrodesis as a sole procedure with instrumentation (N582). - Anterior or posterior scoliosis correction (N539 or N540).
When to Use
- Use E387 when performing pelvic fixation via iliac or S2 alar-iliac screws in conjunction with a primary posterior spinal arthrodesis (e.g., N511 or N582) to extend the construct to the pelvis.
- Use this code for complex deformity correction cases where spinopelvic instrumentation is required as an adjunct to primary scoliosis correction procedures like N539 or N540.
Common Pitfalls
- Billing E387 as a standalone procedure; it is strictly an add-on code and will be rejected if not linked to an eligible primary procedure like N511, N512, N575, N576, N560, N561, N513, N582, N539, or N540.
- Attempting to bill E387 for standard lumbar fusion levels that do not involve specific iliac or S2 alar-iliac screw fixation, as this code is specific to spinopelvic instrumentation.
Billing Tips
- Ensure the primary procedure code is listed first on the claim, followed by E387, to satisfy the add-on dependency requirements for the Ministry of Health.
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