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E973
E973 – Pericranial flap to orbit or face - when in conjunction with coronal approach for main operation
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E973 exclusively as an add-on to R654 when the surgical plan necessitates a coronal incision to access the site for the pericranial flap.
- Apply this code during complex craniofacial reconstructions where the coronal approach is the primary surgical access point for both the main procedure and the flap harvest.
Common Pitfalls
- Submitting E973 without R654 on the same claim will result in an automatic rejection, as it is strictly dependent on the base procedure.
- Attempting to bill E973 for flap procedures that do not utilize a coronal approach, which is a violation of the code's specific anatomical requirement.
Billing Tips
- Ensure the operative report explicitly documents the use of a coronal approach to justify the E973 add-on fee in the event of a post-payment audit.
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