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E631

E631 – Resection of cricoid

OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

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This fee code represents an add-on to M099A (Segmental resection of cervical trachea) and is payable when resection of the cricoid is also performed. This fee is added to the fee for M099A.

When to Use

  • Use E631 as an add-on when performing a segmental resection of the cervical trachea (M099A) that specifically involves the resection of the cricoid cartilage.
  • Use this code when the clinical complexity of the tracheal stenosis or tumor requires the inclusion of the cricoid in the surgical resection plane.

Common Pitfalls

  • Billing E631 as a standalone procedure will result in automatic rejection, as it is strictly an add-on code to M099A.
  • Failing to link the procedure to M099A on the same claim submission will cause the claim to be flagged for manual review or rejection.

Billing Tips

  • E631 is exempt from the 15% multiple procedure reduction rule, ensuring you receive the full value of the add-on in addition to the primary M099A fee.
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Provider Fee$314.20

Effective: April 1, 2025

Category

P. Respiratory Surgical Procedures

Subcategory

RESPIRATORY SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Respiratory Surgical Procedures

M099E623

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