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E918
E918 – Ventriculoscopy - with removal of foreign body
OHIP Surgical Assists Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
This service is an add-on to ventriculoscopy (Z825) and covers the removal of a foreign body. It must be billed in conjunction with the primary ventriculoscopy procedure. This is a surgical procedure and may be eligible for various add-on premiums related to time of day, patient age, and case complexity.
When to Use
- Use E918 exclusively as an add-on code when a foreign body is extracted during a ventriculoscopy (Z825).
- Apply this code when retrieving intraventricular debris, such as a migrated shunt component or a bone fragment, that requires active removal beyond the standard scope of Z825.
Common Pitfalls
- Billing E918 as a standalone procedure will result in an automatic rejection; it must be linked to the primary Z825 service on the same claim.
- Attempting to bill E918 for routine irrigation or suctioning of cerebrospinal fluid is incorrect, as these are considered inherent components of the primary ventriculoscopy (Z825).
Billing Tips
- Ensure your operative report explicitly describes the foreign body and the specific instrumentation used for its retrieval to justify the add-on fee during potential audits.
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