Fee
| Component | Value |
|---|---|
| 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
- Fee masterSchedule PDFOntario source page
- intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure ................................................ add 254.45
Passages mentioning E919
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.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.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00002544500 / 254.45 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 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.
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