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E829

E829Repair of defect (5-10 cm) with component separation

OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This fee code is an add-on to S344A (Ventral or Incisional hernia, fascial defect diameter 5 cm or greater, repaired with mesh closure). It is payable when the repair of a defect measuring between 5 cm and 10 cm in diameter involves component separation.

When to Use

  • Use E829 as an add-on to S344A when performing a component separation for a fascial defect measuring 5-10 cm.
  • Select E829 specifically when the surgical technique involves myofascial release to achieve tension-free closure of a mid-sized ventral or incisional hernia.

Common Pitfalls

  • Billing E829 alongside E827 is a common error; E827 is reserved for defects exceeding 10 cm and the two codes are mutually exclusive.
  • Failure to explicitly document the fascial defect diameter in the operative report will lead to claim rejection, as the 5-10 cm range is a mandatory requirement for this code.
  • Billing E829 without the primary procedure S344A will result in an automatic rejection, as E829 is strictly an add-on code.

Billing Tips

  • Ensure the operative note clearly describes the component separation technique used, as this is the primary audit trigger for this specific add-on fee.
  • Verify that the fascial defect measurement is recorded as the actual defect size, not the size of the mesh used, to satisfy the 5-10 cm criteria.
Provider Fee$341.60

Effective: April 1, 2026

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

Documentation in the operative report must support a fascial defect size between 5 and 10 cm and that a component separation technique was performed.

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