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E809 – Excision of panniculus that extends beyond the mid thigh

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This is an add-on fee payable to the surgeon in addition to `S318 (Panniculectomy), for the additional work of excising a pannus that extends beyond the mid-thigh. As it is billed with S318`, it is subject to the same payment requirements, including that the service is only insured in circumstances described in Appendix D of the Schedule and requires prior authorization from the MOH.
Pre-authorization required
In circumstances where the proposed panniculectomy surgery may include excision of a pannus that extends below the mid thigh, the requesting physician must provide sufficient information with the request for prior authorization of payment.

Panniculectomy is only insured in those circumstances described in Appendix D of this Schedule. Prior authorization of payment from the MOH is required.

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