All codes
M111
M111 – M111
OHIP Ophthalmology Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
One-stage thoracoplasty is a surgical procedure for the collapse of the chest wall. The listed fee covers the procedure on up to three ribs. For each additional rib beyond three, up to a maximum of three additional ribs, E605 may be claimed. The service includes pre-operative and post-operative care as outlined in the Surgical Preamble (). Payment for a second assistant is allowed for this procedure without special authorization ().
When to Use
- Use M111 for a one-stage thoracoplasty procedure involving up to three ribs.
- Use M111 in conjunction with E605 when the surgical plan necessitates the collapse of four, five, or six ribs.
Common Pitfalls
- Claiming E605 for more than three additional ribs, as the add-on is strictly capped at a maximum of three units.
- Failing to document the specific number of ribs addressed, which is required to justify the M111 base fee and any E605 units claimed.
Billing Tips
- Ensure E605 is submitted on the same claim as M111 to reflect the total number of ribs involved beyond the initial three.
Provider Fee$304.20
Specialist Fee$0.00
Surgical Assistant Fee$112.59
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
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