E883 – Laryngectomy with thyroid lobectomy
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
E883 is an add-on fee payable to the surgeon for performing a thyroid lobectomy (which must include excision of the isthmus and pyramidal tract) or a subtotal thyroidectomy during the same operative session as a primary major procedure. It is listed as payable in addition to M081 (total laryngectomy), `S068 (pharyngo-laryngectomy), and S792` (re-exploration of neck for hyperparathyroidism). As a surgical add-on, it is also eligible for various premiums, including after-hours (E409, E410), trauma (E420), morbid obesity (E676A), and age-based premiums for pediatric patients, subject to their specific requirements.
When to Use
- Use E883 when performing a thyroid lobectomy in conjunction with a total laryngectomy (M081) or pharyngo-laryngectomy (S068) during the same operative session.
- Use E883 when performing a subtotal thyroidectomy during a neck re-exploration for hyperparathyroidism (S792).
Common Pitfalls
- Billing E883 without documenting the mandatory excision of the thyroid isthmus and pyramidal tract, which is a requirement for the fee to be payable.
- Attempting to bill E883 as a standalone procedure; it is strictly an add-on code and will be rejected unless linked to an eligible primary surgical code.
Billing Tips
- Ensure the primary procedure (e.g., M081) is billed on the same claim as E883 to avoid automatic rejection for missing the base procedure.
- Apply relevant premiums like E409 or E410 to the E883 fee if the surgery meets the specific after-hours timing criteria, as it is eligible for these percentage increases.
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