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E841
E841 – Nasal reconstruction with autologous bone or cartilage graft
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E841 when performing a complex nasal reconstruction that necessitates the harvesting and placement of an autologous bone or cartilage graft from a donor site like the ear, rib, or iliac crest.
- Apply this code strictly as an add-on procedure during the same operative session as the primary nasal reconstruction defined under M014.
Common Pitfalls
- Billing E841 without obtaining and documenting the mandatory written prior authorization from a Ministry of Health medical consultant will result in automatic rejection.
- Attempting to bill E841 as a standalone procedure without an associated M014 claim will lead to claim denial, as it is strictly an add-on code.
- Exceeding the maximum of two graft sites will trigger an audit or rejection, as the fee schedule explicitly limits the scope to two sites.
Billing Tips
- Ensure the prior authorization reference number is clearly noted in your billing submission to prevent delays caused by the Ministry's manual verification process.
- Verify that the operative report explicitly details the harvest site and the graft placement to support the add-on status of E841 alongside the primary M014 procedure.
Provider Fee$226.80
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Other
Code Classes
Integumentary System Surgical Procedures
Pre-Authorization Required
Written prior authorization by a Ministry of Health medical consultant is required.
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