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E830

E830Mini-plate fixation

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

This service is an add-on to be billed with primary fracture reduction procedures for the orbit with maxilla (e.g., in conjunction with F142) or midface fractures (e.g., in conjunction with F143, F144). It covers the application of mini-plate(s) and is claimed for each major fracture line treated.

When to Use

  • Use E830 as an add-on when performing open reduction and internal fixation (ORIF) of orbital fractures using F142.
  • Use E830 for each distinct major fracture line treated with mini-plate fixation during midface fracture repairs, such as those involving F143 or F144.
  • Apply E830 when securing specific anatomical sites like the infraorbital rim, malar-zygomatic complex, or naso-frontal junction during complex facial trauma reconstruction.

Common Pitfalls

  • Billing E830 as a single unit when multiple distinct major fracture lines were plated; you must claim one unit per major fracture line per side.
  • Failing to link E830 to a primary fracture reduction code, which will lead to automatic rejection as it is strictly an add-on procedure.
  • Misinterpreting the 'per major fracture line' rule by billing for individual screws or plates rather than the anatomical fracture line itself.

Billing Tips

  • Ensure your operative report explicitly identifies each major fracture line (e.g., LeFort I, II, or III) to justify the number of E830 units claimed.
  • When treating bilateral fractures, ensure you clearly document the plate fixation for each side to support the multiple units of E830 submitted.
Provider Fee$107.20

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Musculoskeletal System Surgical Procedures

Where mini-plate(s) are used, one mini-plate fee per each major fracture line (e.g. infraorbital, malar-zygomatic, nasal-frontal, LeFort I, LeFort II and III) (per major fracture line per side) should be billed.

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