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E963
E963 – LeFort I intrusion - in two segments
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E963 only when performing a LeFort I osteotomy that involves a mid-line split or multi-segmental intrusion to achieve the desired occlusal correction.
- This code must be submitted as an add-on alongside R538A to accurately reflect the complexity of a two-segment intrusion procedure.
Common Pitfalls
- Billing E963 in isolation without R538A will result in an automatic rejection, as it is strictly an add-on code.
- Attempting to use E963 for a single-segment intrusion is a billing error; ensure the surgical plan explicitly documents the two-segment requirement.
Billing Tips
- Ensure both R538A and E963 are submitted on the same claim to ensure the total procedural fee is processed correctly.
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