E919

Intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure

Fee

ComponentValue
Provider fee$254.45
Schedule and sources
Fee edition
October 1, 2026
Record effective
2025-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 753 / X1

- intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure ................................................ add 254.45
Passages mentioning E919

PDF page 753 / X1

Neurologic al Surgical ProceduresJ uly 22, 2026 (effective July 1, 2026)
                                                                               NEUROLOGICAL SURGICAL PROCEDURES
      CRANIAL
                                                                                                                                                             Asst    Surg     Anae
               Z811 Intravenous drug test for pain .................................................                                                                  54.10    6
  # E919                                                                   - intracranial duroplasty (greater than 2 cm diameter) to any
                                                                             intracranial procedure ................................................ add             254.45
  # E921                                                                   - repeat cranial procedure - payable in addition to any open
                                                                             intracranial procedure and N111, N114 and N116 but
                                                                             excluding N127 .......................................................... add           262.15
      BRAIN
      Craniotomy plus excision
        Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour
  # N103 - supratentorial......................................................................   15                                                                1877.70    15
  # N151 - infratentorial........................................................................ 15                                                                2004.00    15
  # N152 Craniotomy plus lobectomy ....................................................           15                                                                1754.90    15
  # E901    - with operating microscope ......................................... add                                                                                252.40
        Meningioma and other tumourous lesions, including pituitary tumours
  # N102 - supratentorial...................................................................... 15 2004.00 15
  # N153 - infratentorial or basal ..........................................................   15 2817.30 15
  # E901    - with operating microscope ......................................... add               252.40
  # E902    - lesion greater than 2 cm diameter, to N102 or N153 . add                              454.15
  # E903    - team fee for acoustic neuroma, same approach........ add                              614.70
        Note:
        Claims for N200 or R380 with N153 rendered for the same patient should be submitted using
        the manual review indicator and accompanied by supporting documentation.

PDF page 763 / X11

SKULL BASE SURGERY – COMPLEX CLOSURE, REPAIR AND/OR RECONSTRUCTION OF
     DEFECT(S)
   E892    - harvesting of pedicled vascular flap(s) greater than 3cm in
             size for use in complex endoscopic closure, repair and/or
             reconstruction of surgical defect(s) to N111, N112, N114 or
             N116........................................................................... add 500.00
   E893    - complex closure, repair and/or reconstruction of surgical
             defect(s) - includes duroplasty when rendered to N111,
             N112, N114 or N116................................................... add           555.00
       Note:
       A complex closure, repair and/or reconstruction is defined as surgical closure, repair and/or
       reconstruction:
             a.for a lesion extending beyond the sella turcica; and
             b.is necessary for repair of CSF leak(s); and
             c.requires the use of pedicled vascular flap(s) greater than 3 cm in size.
         Payment rules:
         1.N111, N114 and N116 requires simple closure, reconstruction and/or repair of surgical
           defect(s) and includes the harvesting and use of any autogenous materials and/or pedicled
           flap(s) less than 3 cm in size. E892 and E893 are not eligible for payment for simple closure,
           reconstruction and/or repair.
         2.E919 is eligible for payment, if rendered, when performed as part of a simple closure,
           reconstruction and/or repair. E919 is not eligible for payment with E893.
         [Commentary:
         E892 and E893 may only be claimed when a complex closure, repair and/or reconstruction is
         required, as defined in the note above.]
Fee master record

Master, record 1604. Record Layout PDF, page 1.

E91920250401999999990000254450000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00002544500 / 254.45
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

This is an add-on for an intracranial duroplasty greater than 2 cm in diameter, done with any intracranial procedure. It is listed under Neurological Surgical Procedures, in the Asst Surg Anae section. The rule says it is eligible for payment, if rendered, when part of a simple closure, reconstruction and/or repair.

Watch out for

Duroplasty must be greater than 2 cm in diameter. Eligible for payment, if rendered, when part of a simple closure, reconstruction and/or repair. Not eligible for payment with E893.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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