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Billing code

E541A — Percutaneous inflation of tissue expander – each additional expander

Extra tissue expander inflation

Add to Z137 for each additional tissue expander inflated percutaneously, up to 3.

Watch for: Must be billed with Z137, and no more than 3 additional expanders.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$11.55$0.00$0.00$0.00$0.00
Code
E541A
Description
Percutaneous inflation of tissue expander – each additional expander
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2025
Termination date
No end date

Explanation

Updated October 26, 2026

Add-on to Z137 for each extra tissue expander inflated percutaneously, up to 3.

What it covers

E541 is billed with Z137 (percutaneous inflation of the first tissue expander) for each additional expander, to a maximum of 3 (M24).

Billing rules

  • Bill only with Z137 (M24).
  • Maximum 3 additional expanders (M24).

Often billed with

  • Z137 for the first expander (M24).

Common rejections

  • AD9: OHIP describes this as 'Premium not allowed alone': this add-on is paid only with Z137 on the same claim; add the base code or remove the add-on.
  • A3H: OHIP describes this as 'Maximum Number Services per the Fee Schedule Master': more than 3 additional expanders were billed (M24).

Related codes: Z137, Z132, E527, E528, Z138

Source: Schedule of Benefits (July 1, 2026), Integumentary System Surgical Procedures, Skin and Subcutaneous Tissue, page M24.

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