What is OHIP billing code E976?

E976 is "Costochondral or chondral graft - each subsequent rib", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E976 pay?

The current OHIP fee for E976 is $154.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E976 to OHIP?

E976 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E976 claims against the Schedule of Benefits rules before submission.

What codes are related to E976?

Codes related to E976 in the Schedule of Benefits include Z265.

All codes

E976

E976 – Costochondral or chondral graft - each subsequent rib

OHIP Surgical Assists Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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This service is for the harvesting of each subsequent costochondral or chondral graft from a rib after the first. It is an add-on procedure and must be claimed in conjunction with `Z265`, which covers the first rib. The fee for E976 is added to the primary procedure fee.

When to Use

Use E976 for the second, third, or subsequent rib graft harvest when performing multi-level reconstruction or extensive thoracic wall procedures.
Use this code specifically when the primary graft harvest is billed under Z265 to account for the additional surgical time and effort required for subsequent rib involvement.

Common Pitfalls

Billing E976 without a corresponding Z265 claim on the same patient encounter will result in an automatic rejection.
Attempting to bill E976 for the first rib harvest is a common error; the first rib is always included in the primary procedure code Z265.
Claiming E976 multiple times without clear documentation of the number of additional ribs harvested can trigger audit flags for overbilling.

Billing Tips

Ensure your operative report explicitly documents the number of ribs harvested to justify the quantity of E976 units claimed.
When claiming multiple units of E976, ensure the total count reflects only the 'subsequent' ribs beyond the initial one covered by Z265.

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Provider Fee$154.00

Effective: April 1, 2025

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