E614 – Omental graft
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
`E614` is an add-on payment for performing an omental graft. This procedure is typically used to provide a well-vascularized tissue flap to reinforce a bronchial stump closure or other areas within the thoracic cavity, particularly after lung resections. According to the Schedule of Benefits on page , this fee may be applied to preceding M prefix excision codes in the Respiratory Surgical Procedures section.
When to Use
- Use E614 when performing an omental flap to reinforce a bronchial stump closure following a pulmonary resection.
- Use E614 when utilizing an omental graft to provide vascularized tissue coverage for a thoracic defect or complication identified during a primary respiratory surgical procedure.
Common Pitfalls
- Billing E614 without an associated M-prefix respiratory surgical procedure code will result in an automatic rejection.
- Attempting to bill E614 as a standalone procedure rather than an add-on premium will lead to claim denial.
- Failure to clearly document the specific anatomical necessity and the surgical technique used for the omental graft increases the risk of audit recovery.
Billing Tips
- Ensure E614 is submitted on the same claim as the primary respiratory surgical procedure to maintain the correct linkage for the add-on payment.
- Verify that the primary procedure code is within the 'Respiratory Surgical Procedures' section, as E614 is strictly restricted to these preceding M-prefix codes.
Effective: April 1, 2025
P. Respiratory Surgical Procedures
RESPIRATORY SURGICAL PROCEDURES
Premium
Respiratory Surgical Procedures, Other Premiums (including After Hours Procedure Premiums)
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