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E959
E959 – Meatoplasty and/or canalplasty
OHIP Surgical Assists Code — AURAL SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E959 when performing a meatoplasty or canalplasty specifically as an adjunct to a primary mastoidectomy procedure such as E315, E320, or E322.
- Claim this code when the surgical enlargement of the external auditory canal is required to provide adequate access or exposure during a primary mastoid surgery.
Common Pitfalls
- Attempting to bill E959 as a standalone procedure will result in automatic rejection, as it is strictly defined as an add-on fee.
- Billing E959 with non-mastoidectomy procedures, such as minor ear procedures not listed in the restriction notes, will trigger an audit or claim adjustment.
Billing Tips
- Ensure the primary mastoidectomy code (E315, E320, or E322) is listed first on the claim to establish the surgical context required for the add-on E959.
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