What is OHIP billing code M086?

M086 is "Trans-nasal endoscopic repair of CSF rhinorrhea", an OHIP Respiratory Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does M086 pay?

The current OHIP fee for M086 is $822.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill M086 to OHIP?

M086 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates M086 claims against the Schedule of Benefits rules before submission.

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M086

M086 – Trans-nasal endoscopic repair of CSF rhinorrhea

OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

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Performs a trans-nasal endoscopic repair of a cerebrospinal fluid (CSF) leak. This comprehensive service includes the harvesting of any necessary graft material. The procedure may be performed with or without the aid of a 3D CT/MRI image guided system, the use of which is included in the fee and not billed separately. This service is categorized under Respiratory Surgical Procedures as per page of the Schedule.

Payment for M086 includes harvesting of graft material.

The use of a 3D CT/MRI image guided system is included in the fee for M086 and is not separately payable.

Where no basic unit is listed opposite the service in the column headed with 'Asst', the number of basic units is that listed opposite the service under the column headed with 'Anae'. This type of service is only eligible for payment upon authorization by a medical consultant following submission of a letter from the surgeon outlining the reason the assistant was required. Submit claims for this type of service using fee code M400B.

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