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E443
E443 – Epidural or spinal injection with catheter for continuous infusion
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use E443 when you perform a G246, G117, G119, or G918 and specifically thread a catheter into the epidural space for the purpose of continuous infusion.
- Apply this code when managing post-operative pain or chronic pain syndromes requiring an indwelling catheter rather than a single-shot injection.
Common Pitfalls
- Billing E443 without one of the mandatory parent codes (G246, G117, G119, or G918) will result in an automatic rejection.
- Attempting to bill E443 alongside G236, G234, or G920 for the same anatomical site is a common audit trigger, as these are considered inherent to the epidural procedure.
Billing Tips
- Ensure the primary procedure code (G246, G117, G119, or G918) is listed first on the claim to establish the base service before the add-on E443.
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