Question 1

What is OHIP billing code E969?

Accepted Answer

E969 is "LeFort I cleft palate - with SMR", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does E969 pay?

Accepted Answer

The current OHIP fee for E969 is $204.80, effective 2025-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill E969 to OHIP?

Accepted Answer

E969 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E969 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to E969?

Accepted Answer

Codes related to E969 in the Schedule of Benefits include R580, E967, E968, E970, E971, E972.

E969 – LeFort I cleft palate - with SMR

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