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E643

E643Laser microlaryngoscopy for benign disease

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

This is an add-on fee payable in addition to `Z323` (Direct laryngoscopy with removal of lesion(s)) when a laser is used with microlaryngoscopy for benign disease.

When to Use

  • Use E643 when performing laser excision or ablation of benign vocal cord lesions (e.g., polyps, nodules) in conjunction with Z323.
  • Use E643 for laser treatment of benign laryngeal papillomatosis when the primary procedure is coded as Z323.

Common Pitfalls

  • Billing E643 without Z323 on the same claim will result in an automatic rejection as it is a mandatory add-on code.
  • Attempting to bill E600 concurrently with E643 is prohibited; the system will reject the claim as these codes are mutually exclusive.

Billing Tips

  • Ensure the operative report explicitly mentions the use of a laser and microlaryngoscopy to support the E643 claim, as this is a premium add-on subject to audit.
Provider Fee$121.65

Effective: April 1, 2025

Category

P. Respiratory Surgical Procedures

Subcategory

RESPIRATORY SURGICAL PROCEDURES

Service Type

Premium

Code Classes

Respiratory Surgical Procedures

E600 is not eligible for payment in addition to E643.

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