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E619
E619 – Sleeve lobectomy
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code for a sleeve lobectomy. It is intended to be billed in addition to the primary lung excision procedure. As per the Schedule (P:17), this code applies to the 'preceding M prefix excision codes'.
When to Use
- Use E619 as an add-on when performing a bronchial sleeve resection in conjunction with a lobectomy (e.g., S846 or similar M-prefix lung excision codes).
- Apply this code specifically when the surgical complexity involves the reconstruction of the airway following the excision of the lung lobe.
Common Pitfalls
- Billing E619 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code requiring a primary M-prefix excision code on the same claim.
- Failing to link the E619 to the correct primary surgical code on the claim can lead to audit flags regarding the necessity of the additional airway reconstruction.
Billing Tips
- Ensure the primary lung excision code is listed first on the claim to establish the surgical context for the E619 add-on.
- If the procedure is performed after hours, apply the relevant premium (E409 or E410) to the total fee, including the E619 add-on, provided the criteria for non-elective or emergency-delayed surgery are met.
Provider Fee$162.45
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
The following E codes may apply to the preceding M prefix excision codes
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