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E843
E843 – Bilateral endoscopic sphenoidotomy
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E843 as an add-on when you perform a bilateral endoscopic sphenoidotomy, billing Z350 for the first side and E843 for the second side.
- Apply E843 specifically when the surgical scope is introduced into both the left and right sphenoid sinuses during the same operative session.
Common Pitfalls
- Billing E843 without an accompanying Z350 claim will result in an automatic rejection as it is a dependent add-on code.
- Attempting to bill E843 for a unilateral procedure is a common audit trigger; ensure the operative report explicitly confirms bilateral involvement.
Billing Tips
- You may stack E845 (image guidance) alongside both Z350 and E843 if the clinical criteria for image guidance are met for the bilateral procedure.
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