All codes
E941
E941 – Exenteration - with major plastic repair
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This code represents an additional procedure for a major plastic repair, intended to be billed in conjunction with E171 (Exenteration). As an add-on code, it is not billed as a standalone service.
When to Use
- Use E941 when performing a major plastic repair, such as a rotational flap or free graft, to reconstruct the orbital socket immediately following an E171 exenteration.
- Apply this code only when the reconstructive effort exceeds the standard closure included in the base E171 fee.
Common Pitfalls
- Billing E941 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code requiring E171 on the same claim.
- Attempting to bill E941 for simple primary closure of the exenteration site is an audit risk, as the code specifically requires a 'major' plastic repair.
Billing Tips
- Ensure the operative note explicitly details the specific plastic repair technique used to justify the 'major' designation required for E941.
Provider Fee$296.90
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
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