All codes
M100
M100 – Tracheal rupture, transcervical
OHIP Ophthalmology Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
M100 is for the surgical repair of a tracheal rupture via a transcervical approach. The fee for this service includes pre-operative care (1-2 days prior to surgery), the surgical procedure itself, and post-operative care for up to two weeks, with some exceptions as detailed in the Surgical Preamble (). The major pre-operative visit (consultation or assessment) where the decision to operate is made can be claimed separately ().
When to Use
- Use M100 for the definitive surgical repair of a tracheal rupture specifically via a transcervical approach.
- Use M100 when the procedure is performed as a primary surgical intervention, ensuring the transcervical route is clearly documented in the operative report.
Common Pitfalls
- Billing for hospital visits within the 14-day post-operative period, which are already included in the M100 fee, excluding the first and second post-operative visits.
- Failing to bill the major pre-operative consultation or assessment separately, as this is explicitly excluded from the M100 surgical fee.
- Attempting to claim after-hours premiums (E409/E410) alongside the Trauma Premium (E420), as these are mutually exclusive.
Billing Tips
- Ensure the operative report explicitly details the transcervical approach to justify the use of M100 over other potential tracheal procedure codes.
- If the patient is morbidly obese, verify that the BMI is documented in the medical record to support the E676A add-on, provided all other criteria for open surgical technique are met.
Provider Fee$654.30
Surgical Assistant Fee$112.59
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.