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E908

E908Removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation

OHIP Surgical Assists Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

This is an additional fee payable for the removal of an intracerebral and/or subdural haematoma when this procedure is performed in conjunction with the surgical treatment of a ruptured intracranial aneurysm (see N105) or an arteriovenous malformation (see N154). The fee for this add-on is 304.30.

When to Use

  • Use E908 when you must evacuate a space-occupying intracerebral or subdural haematoma to gain access to or stabilize a ruptured intracranial aneurysm (N105).
  • Use E908 when performing a craniotomy for an arteriovenous malformation (N154) that necessitates the concurrent removal of a significant associated haematoma.

Common Pitfalls

  • Billing E908 as a standalone procedure; it is strictly an add-on and will be rejected if not submitted with N105 or N154 on the same claim.
  • Attempting to bill E908 for routine clot removal incidental to standard aneurysm or AVM dissection, which is often considered part of the base procedure (N105/N154) rather than a distinct haematoma evacuation.

Billing Tips

  • Ensure the operative report explicitly details the volume and location of the haematoma requiring evacuation to justify the additional complexity beyond the primary N105 or N154 procedure.
Provider Fee$304.30

Effective: April 1, 2025

Category

X. Neurological Surgical Procedures

Subcategory

NEUROLOGICAL SURGICAL PROCEDURES

Service Type

Premium

Code Classes

Neurological Surgical Procedures, Other Premiums (including After Hours Procedure Premiums)

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