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E607
E607 – Re-operation more than 30 days subsequent to previous excision
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E607 when performing a secondary lung excision or transplant procedure (e.g., M155A) on a patient who previously underwent a lung excision more than 30 days prior.
- Apply this code to account for the increased surgical complexity and operative time associated with adhesions or altered anatomy from a prior procedure performed over a month ago.
Common Pitfalls
- Billing E607 for a re-operation occurring within 30 days of the initial excision will result in a rejection, as this timeframe is typically covered under the global surgical period.
- Attempting to claim E607 with non-excision respiratory codes will lead to a rejection; it is strictly restricted to the M-prefix excision codes specified in the Schedule of Benefits.
Billing Tips
- Ensure the date of the previous excision is clearly noted in the operative report to justify the 'more than 30 days' requirement during a potential audit.
Provider Fee$152.30
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Premium
Code Classes
Respiratory Surgical Procedures
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