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E827
E827 – Repair of defect (> 10 cm) with component separation
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee to be billed in conjunction with S344A (Hernia fascial defect (diameter 5 cm or greater) repaired with mesh closure). It is payable when the fascial defect is greater than 10 cm in diameter and the repair requires component separation.
When to Use
- Use when performing a complex ventral or incisional hernia repair where the fascial defect exceeds 10 cm and requires component separation techniques.
- Use exclusively as an add-on to the primary procedure code S344A to account for the increased surgical complexity of large-scale defects.
Common Pitfalls
- Billing E827 for defects between 5 cm and 10 cm, which is a direct violation of the Schedule of Benefits; use E829 for that size range instead.
- Attempting to bill E827 as a standalone code; it is strictly an add-on and will be rejected if submitted without the parent code S344A.
- Failure to document the specific component separation technique used, which is a requirement to justify the additional complexity beyond standard mesh closure.
Billing Tips
- Ensure the operative report explicitly states the fascial defect size is greater than 10 cm and details the component separation maneuver to support the audit trail for this premium fee.
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