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E975
E975 – Rib graft - each subsequent rib
OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee for harvesting each subsequent rib for a rib graft procedure. This code is intended to be billed in addition to the primary procedure for the first rib, Z264 (Rib graft - one rib).
When to Use
- Use E975 for the second, third, or fourth rib harvested in a single operative session where the primary graft is billed under Z264.
- Apply this code when the surgical plan necessitates multiple rib segments for reconstruction, ensuring Z264 is billed as the base procedure.
Common Pitfalls
- Billing E975 without a corresponding Z264 on the same claim will result in an automatic rejection.
- Attempting to use E975 for the first rib harvested is a common error; the first rib must always be billed as Z264.
- Failing to specify the quantity of E975 units when multiple additional ribs are harvested will result in underpayment.
Billing Tips
- Ensure the number of units for E975 matches the number of additional ribs harvested beyond the first, as this is a per-rib add-on fee.
Provider Fee$76.50
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Musculoskeletal System Surgical Procedures
This fee is for 'each' subsequent rib, implying it can be claimed for every additional rib harvested after the first.
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