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E962
E962 – LeFort I advancement - in three segments
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee for a LeFort I advancement procedure when it is performed in three segments. This fee is claimed in addition to R379 for the LeFort I advancement in one segment.
When to Use
- Use E962 exclusively when performing a LeFort I osteotomy that requires the maxilla to be sectioned into three distinct segments to address complex transverse or segmental discrepancies.
- This code must be billed in conjunction with R379, which covers the base LeFort I advancement procedure.
Common Pitfalls
- Billing E962 and E961 on the same claim is a common rejection error, as these codes are mutually exclusive; you cannot perform a two-segment and three-segment procedure simultaneously.
- Failing to link E962 to R379 will result in an automatic rejection, as E962 is strictly an add-on fee and cannot be claimed as a standalone service.
Billing Tips
- Ensure your operative report explicitly details the three-segment osteotomy to justify the use of E962 over the standard R379 base fee.
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