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E965

E965LeFort 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.
Provider Fee$296.60

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Musculoskeletal System Surgical Procedures

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