All codes
E611
E611 – Resection of diaphragm and direct suture closure
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
This code is an add-on to be claimed with M prefix lung excision codes when the surgical procedure also requires the resection of the diaphragm and its closure via direct suture. It is listed under the Respiratory Surgical Procedures section, specifically for Lungs and Pleura.
When to Use
- Use E611 when a lung resection (M-code) necessitates the incidental resection of a portion of the diaphragm to achieve clear margins, followed by primary suture closure.
- Apply this code specifically when the diaphragmatic involvement is a direct extension of the primary lung pathology, requiring surgical excision and repair during the same operative session.
Common Pitfalls
- Do not bill E611 if the diaphragmatic repair involves the use of prosthetic mesh; E611 is strictly for direct suture closure.
- Avoid billing E611 as a standalone procedure; it is an add-on code and will be rejected if not linked to a primary M-prefix lung excision code.
Billing Tips
- Ensure the operative report explicitly describes the resection of the diaphragm and the specific technique of direct suture closure to justify the additional fee.
- When performing multiple procedures, remember that E611 is subject to the 85% multiple procedure rule if applicable, unless the primary procedure's preamble specifies otherwise.
Provider Fee$145.00
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Respiratory Surgical Procedures
The following E codes may apply to the preceding M prefix excision codes:
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.