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E884
E884 – Laryngectomy with total thyroidectomy
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E884 when performing a total thyroidectomy as a secondary procedure during a total laryngectomy (M081).
- Apply this code when the thyroid gland is removed during a pharyngo-laryngectomy (S068) for oncological clearance.
- Use E884 when performing a total thyroidectomy during a re-exploration of the neck (S792) when the thyroid is involved in the pathology.
Common Pitfalls
- Billing E884 as a standalone procedure; it is strictly an add-on code and will be rejected if submitted without a primary procedure code like M081 or S068.
- Failing to apply the 85% rule for multiple procedures performed under the same anaesthesia, as E884 is subject to the standard multiple procedure reduction rules.
- Attempting to bill E884 for a partial thyroidectomy or lobectomy, as the code specifically requires a total thyroidectomy.
Billing Tips
- Ensure the primary procedure (e.g., M081) is billed at 100% and E884 is billed at 85% to comply with the multiple procedure payment adjustment rules.
- If the patient meets the criteria for morbid obesity, remember to add E676A to your claim to receive a 25% increase on the E884 fee.
Provider Fee$374.00
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures, Digestive System Surgical Procedures, Endocrine Surgical Procedures
When added to a laryngectomy (M081), the excision is to include laryngoscopy.
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