All codes
E441
E441 – Epidural or spinal injection - performed at same level of previous spinal surgery
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use E441 when performing a therapeutic epidural injection (G246, G117, G119, or G918) specifically at the site of a prior laminectomy or discectomy.
- Apply this code when the patient's surgical history is confirmed at the exact vertebral level being injected to account for the increased technical difficulty of post-surgical scarring.
Common Pitfalls
- Billing E441 without one of the four mandatory parent codes (G246, G117, G119, or G918) will result in an automatic rejection.
- Claiming E441 for injections at levels adjacent to, but not including, the previously operated vertebral level is an audit risk and considered an invalid use of the premium.
Billing Tips
- Ensure your clinical notes explicitly state the specific vertebral level of the previous surgery to justify the E441 premium during a potential post-payment review.
Provider Fee$16.60
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Premium
Code Classes
Diagnostic and Therapeutic Procedures, Other Premiums (including After Hours Procedure Premiums)
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