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E922
E922 – Craniotomy with repair of frontonasal encephalocele
OHIP Surgical Assists Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Craniotomy with repair of frontonasal encephalocele
When to Use
- Use E922 specifically for the neurosurgical component of a frontonasal encephalocele repair involving a craniotomy.
- Apply this code when the procedure is performed in conjunction with N208 to capture the full scope of the craniofacial reconstruction.
Common Pitfalls
- Billing E922 as a standalone procedure without N208 often leads to underpayment, as the complexity of the repair is intended to be captured by the combined billing of both codes.
- Failing to document the specific intracranial approach used for the encephalocele repair can trigger audit flags regarding the necessity of the craniotomy component.
Billing Tips
- Always pair E922 with N208 on the same claim to ensure the full surgical fee for the craniofacial repair is processed correctly.
Provider Fee$215.35
Effective: April 1, 2025
Category
X. Neurological Surgical Procedures
Subcategory
NEUROLOGICAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
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