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E965
E965 – LeFort I extrusion - in two segments
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code to be claimed when a LeFort I extrusion, as described by R567, is performed in two segments. It is listed under the Orthognathic Surgery subsection on page .
When to Use
- Use this code exclusively as an add-on when performing a LeFort I extrusion that requires splitting the maxilla into two distinct segments.
- This code must be claimed in conjunction with the primary procedure code R567 to reflect the increased complexity of a two-segment osteotomy.
Common Pitfalls
- Claiming E965 without the mandatory primary procedure code R567 will result in an automatic rejection.
- Attempting to use this code for a standard single-segment LeFort I extrusion is an error; it is strictly reserved for two-segment procedures.
Billing Tips
- Ensure the operative report explicitly documents the division of the maxilla into two segments to justify the use of this add-on code during an audit.
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