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E912
E912 – Reduction of skull fracture - with repair of dural laceration
OHIP Surgical Assists Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code for the reduction of skull fracture when accompanied by the repair of dural laceration. It adds a flat amount of $233.30 to the base procedure.
When to Use
- Use E912 as an add-on to N139 or N140 when the surgical approach to a depressed skull fracture reveals and requires the repair of a dural tear.
- Apply this code specifically when the dural laceration is identified and sutured or patched during the primary reduction procedure.
Common Pitfalls
- Billing E912 without a primary procedure code like N139 or N140 will result in an automatic rejection.
- Claiming E912 for simple dural exposure without an active repair or suture is considered an audit risk for upcoding.
- Failing to document the specific technique used to repair the dura, such as primary closure or graft placement, makes the claim vulnerable to recovery during a post-payment audit.
Billing Tips
- Ensure the operative report explicitly describes the dural laceration and the specific repair method to justify the add-on fee in the event of a Ministry review.
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