All codes
E442
E442 – Transforaminal technique injection
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use E442 as an add-on premium when the epidural injection (G246, G117, G119, or G918) is specifically performed via the transforaminal approach rather than a standard interlaminar approach.
- Apply this code when you are performing targeted nerve root injections for radicular pain that require the transforaminal technique to ensure accurate medication delivery to the affected spinal nerve.
Common Pitfalls
- Billing E442 without one of the mandatory parent codes (G246, G117, G119, or G918) will result in an automatic rejection.
- Attempting to bill E442 alongside G919 is prohibited, as the latter is specifically restricted in the billing interactions for these procedures.
- Exceeding the 12-service limit per 12-month period for the parent codes without prior MOH authorization will cause subsequent claims including the E442 premium to be denied.
Billing Tips
- Ensure your clinical notes explicitly state 'transforaminal technique' to justify the premium, as this is the primary audit trigger for this add-on code.
- Verify that the total count of parent epidural injections (G246, G117, G119, G918) remains within the 12-service annual limit to avoid payment clawbacks on the premium.
Provider Fee$20.00
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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