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E445
E445 – Sclerosing solution injection
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use E445 as a 50% add-on when performing sclerotherapy for varicose veins using G232, G233, G234, G236, or G217.
- Apply E445 when injecting sclerosing agents during the treatment of hydroceles or other cystic lesions billed under G920.
Common Pitfalls
- Billing E445 without explicitly documenting the specific sclerosing agent used, such as ethanol or sodium tetradecyl sulfate, will lead to claim rejection.
- Attempting to claim E445 for simple aspiration procedures that do not involve the injection of a sclerosing solution is a common audit trigger.
Billing Tips
- Ensure E445 is submitted on the same claim as the primary procedure code (e.g., G232) to trigger the 50% premium calculation automatically.
Percentage Premium: 0.5%
This code applies a percentage increase to the base procedure fee
Provider Fee$0.01
Effective: September 1, 2011
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
PercentageIncrease
Code Classes
Other Premiums (including After Hours Procedure Premiums)
Documentation of the use of alcohol or other sclerosing solutions is required.
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