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E509
E509 – Conduit to aorta or common iliac artery
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
E509 is listed as a Major Invasive Procedure on page of the Schedule of Benefits. As such, it is eligible for after-hours procedure premiums when the procedure is non-elective or is an elective procedure delayed by an intervening surgical emergency. Note: The specific details of the procedure itself are not available in the provided context; this information is based on its inclusion in the list of Major Invasive Procedures.
When to Use
- Use E509 for the creation of a conduit to the aorta or common iliac artery during vascular reconstruction procedures.
- Apply this code when performing non-elective vascular bypass or graft procedures that necessitate direct arterial access to the aorta or common iliac vessels.
Common Pitfalls
- Failure to append the appropriate after-hours premium (E409 or E410) for non-elective procedures performed outside standard hours will result in significant underpayment.
- Billing E509 as a standalone service without the required R875 or R888 surgical assistant or anaesthesia-related documentation will lead to claim rejection.
- Attempting to bill E509 for minor arterial access or diagnostic catheterization, which are covered under different procedural codes, will trigger audit flags.
Billing Tips
- Always ensure the operative report clearly justifies the non-elective status to support the addition of E409 or E410 premiums.
- Verify that the surgical record explicitly references the conduit placement to the aorta or common iliac artery to satisfy the specific anatomical requirement of E509.
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