E510 – Endovascular aneurysm repair - branched or fenestrated devices
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Add-on for branched or fenestrated devices, to R875 or R888. These services include insertion of all catheters including access catheters, interpretation of any images which may be taken at the time of the procedures. E510 is not eligible for payment for branched or fenestrated devices to the common iliac artery(s). E510 is not eligible for payment with E627.
When to Use
- Use E510 as an add-on when performing complex endovascular aneurysm repair (EVAR) using branched or fenestrated endografts in conjunction with the primary procedure code R875 or R888.
- Apply this code specifically for visceral or renal artery preservation requiring fenestrated or branched components, as it is explicitly excluded for common iliac artery branched/fenestrated devices.
Common Pitfalls
- Billing E510 alongside E627 will result in an automatic rejection, as the schedule explicitly prohibits the concurrent use of these two codes.
- Attempting to claim E510 for branched or fenestrated devices used solely for common iliac artery repair is a common audit trigger and will result in non-payment.
- Submitting separate claims for catheter insertion or intraoperative imaging interpretation is redundant and incorrect, as these elements are bundled into the E510 fee.
Billing Tips
- Ensure the primary procedure code (R875 or R888) is correctly linked on the same claim to prevent the E510 add-on from being rejected for missing a parent service.
Effective: April 1, 2026
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Ocular and Aural Surgical Procedures
All insured services must be documented in appropriate records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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