What is OHIP billing code E911?

E911 is "Implantation of neuroma into bone or muscle", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E911 pay?

E911 is a percentage premium: it adds 40% to the fee of the eligible service it is billed with, per the Ontario Schedule of Benefits.

How do I bill E911 to OHIP?

E911 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E911 claims against the Schedule of Benefits rules before submission.

What codes are related to E911?

Codes related to E911 in the Schedule of Benefits include N286, N295.

All codes

E911

E911 – Implantation of neuroma into bone or muscle

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

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This premium provides an additional 40% to the basic fee for N286 (Tumour or neuroma - major nerve) or N295 (Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous nerve tumour) to account for the implantation of the neuroma into bone or muscle.

When to Use

Use E911 when you perform a formal implantation of a nerve stump into a muscle belly or bone tunnel to prevent symptomatic recurrence following the excision of a major nerve neuroma (N286).
Apply this premium when managing a Morton's neuroma (N295) if the surgical plan specifically includes burying the proximal nerve end into the interosseous space or muscle to mitigate post-operative pain.

Common Pitfalls

Do not bill E911 for standard nerve excision procedures (N286 or N295) where the nerve is simply transected and allowed to retract naturally without formal implantation.
Avoid billing E911 if the procedure is performed as part of a revision surgery that does not involve the specific technique of burying the nerve into a bone or muscle bed.

Billing Tips

Ensure your operative report explicitly describes the technique of burying or anchoring the nerve stump into the muscle or bone, as this documentation is required to justify the 40% premium over N286 or N295.

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Percentage Premium: 0.4%

This code applies a percentage increase to the base procedure fee

Provider Fee$0.01

Effective: July 1, 2013

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