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E932

E932Primary bone graft reconstruction (separate site) in addition to local repair, unilateral

OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Payable as an addition to the primary procedure for the unilateral reduction of an orbit with maxilla fracture, such as F142 (with wiring and local fixation) or F150 (closed reduction and dental wiring). This code is used to account for the unilateral nature of the repair.

When to Use

  • Use E932 when performing a primary bone graft to a separate site during a unilateral orbit and maxilla fracture reduction, such as F142 or F150.
  • Apply this code specifically to account for the unilateral nature of the bone graft reconstruction when the primary fracture repair is also unilateral.

Common Pitfalls

  • Do not bill E932 in conjunction with Z263, Z264, Z265, Z266, E975, or E976, as these are explicitly restricted.
  • Avoid using E932 for bilateral procedures; it is strictly defined for unilateral reconstruction and will be rejected if the primary procedure is billed as bilateral.

Billing Tips

  • Ensure the primary procedure (e.g., F142 or F150) is billed on the same claim to justify the addition of the E932 graft code.
  • If the procedure is performed after hours or involves a trauma patient meeting the ISS criteria, apply the appropriate percentage premiums (E409, E410, or E420) to the total procedural fee.
Provider Fee$205.00

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Musculoskeletal System Surgical Procedures

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