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E528 – Insertion of additional tissue expander, different incision

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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The E528 fee is payable in addition to `Z132 (Insertion of tissue expander) when an additional expander is inserted using a different incision. This procedure is subject to the same notes as Z132`, meaning it is not eligible for payment for post-mastectomy reconstruction and may require prior authorization from the Ministry of Health for certain conditions (e.g., for scars of legs).
Pre-authorization required
Z132E527Z094Z095Z137E541Z138

Authorization may be required from the Ministry of Health (e.g. for scars of legs, etc.).

`Z132` is not eligible for payment for post-mastectomy reconstruction of the breast. As an add-on, this restriction also applies to E528.

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