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E616
E616 – Bi-lobectomy on right side or segmentectomy plus lobectomy
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
An additional fee that may be claimed for a bi-lobectomy on the right side when performed with a primary lung excision procedure, such as those listed with M-prefix codes. This fee is added to the value of the main surgical procedure.
When to Use
- Claim this code as an add-on when performing a right-sided bi-lobectomy in conjunction with a primary lung excision procedure (e.g., M-prefix codes).
- Use this code specifically for a segmentectomy performed in addition to a lobectomy to account for the increased complexity of the multi-lobe resection.
Common Pitfalls
- Attempting to bill E616 as a standalone procedure; it must be linked to a primary M-prefix lung excision code to avoid automatic rejection.
- Failing to apply the 85% multiple procedure rule when E616 is billed alongside other surgical procedures performed under the same anesthesia.
Billing Tips
- Ensure the primary M-prefix code is listed first on the claim, followed by E616, to maintain proper hierarchy for the 85% payment adjustment rule.
Provider Fee$305.50
Effective: April 1, 2026
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
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