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E515
E515 – Incision of abscess or hematoma - sole procedure under general anaesthetic
OHIP Surgical Assists Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E515 as a premium code when performing an I&D of a subcutaneous abscess (Z102) in a formal operating room setting under general anesthesia.
- Apply E515 when the I&D of a perianal abscess (Z105) or ischiorectal abscess (Z107) is the sole procedure performed under general anesthesia.
Common Pitfalls
- Billing E515 for procedures performed in an emergency department or minor procedure room will result in automatic rejection, as the code explicitly excludes these locations.
- Attempting to claim E515 when other surgical procedures are performed during the same operative session will lead to audit flags, as it is strictly defined as a sole procedure code.
Billing Tips
- Always pair E515 with the appropriate primary procedure code (e.g., Z102, Z105, Z107) to trigger the 110% premium payment correctly.
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