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E610
E610 – Closure of broncho-pleural fistula with myovascular flap
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
This code is claimed in addition to M130 when a myovascular flap, such as pectoralis major, latissimus dorsi, or rectus abdominus, is utilized for the closure of a broncho-pleural fistula. The use of the flap represents additional work not included in the base procedure fee.
When to Use
- Use E610 as an add-on code specifically when a myovascular flap (e.g., pectoralis major, latissimus dorsi, or rectus abdominus) is harvested and transposed to close a broncho-pleural fistula.
- Claim E610 only in conjunction with the primary procedure M130, which covers the base surgical closure of the fistula.
Common Pitfalls
- Claiming E610 without explicitly documenting the specific muscle or myovascular flap used in the operative report, which is a mandatory requirement for audit compliance.
- Failing to apply the 85% payment rule to E610 when it is performed alongside other secondary procedures during the same operative session, as per the general surgical payment adjustment rules.
Billing Tips
- Ensure E610 is submitted on the same claim as M130 to maintain the link between the primary procedure and the additional flap work.
Provider Fee$263.80
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Respiratory Surgical Procedures
The operative report must document the use of a myovascular flap.
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