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E842
E842 – Nasal reconstruction with non-autologous graft or implant
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
Nasal reconstruction with non-autologous graft or implant, performed as an add-on to M014. This procedure carries a flat add-on amount of $58.60.
When to Use
- Use E842 when performing a nasal reconstruction procedure that specifically requires the insertion of a synthetic implant or non-autologous graft material.
- Apply this code strictly as an add-on to the primary procedure M014 when the surgical plan necessitates the use of non-autologous materials to achieve structural nasal support.
Common Pitfalls
- Billing E842 without an associated M014 claim will result in an automatic rejection as it is defined strictly as an add-on procedure.
- Attempting to bill E842 for autologous grafts (e.g., septal or conchal cartilage) is a common audit trigger; this code is reserved exclusively for non-autologous materials.
Billing Tips
- Ensure the operative report explicitly details the type of non-autologous material used to justify the add-on fee in the event of a post-payment review.
Provider Fee$58.60
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
AddOn
Code Classes
Diagnostic and Therapeutic Procedures
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