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E625
E625 – Sleeve resection of pulmonary artery
OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
E625A is an add-on fee payable to the surgeon for performing a sleeve resection of the pulmonary artery. It is billed in addition to the fee for the primary lung excision procedure (i.e., preceding M prefix excision codes).
When to Use
- Use E625A when performing a formal sleeve resection of the pulmonary artery in conjunction with a primary lung excision, such as a lobectomy (e.g., S814) or pneumonectomy (e.g., S816).
- Apply this code specifically when the pulmonary artery involvement necessitates a sleeve resection to achieve clear margins, distinguishing it from simple wedge resections or vascular repairs.
Common Pitfalls
- Billing E625A as a standalone procedure; it is strictly an add-on code and will be rejected if not submitted with a primary lung excision code.
- Confusing E625A with vascular reconstruction codes like E848 or E849; ensure the procedure meets the specific definition of a pulmonary artery sleeve resection rather than a general vascular graft or patch.
Billing Tips
- Always link E625A to the primary lung excision code on the same claim to ensure the system recognizes the procedural hierarchy and avoids automated rejections.
Provider Fee$142.20
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Respiratory Surgical Procedures
Payable in addition to the preceding M prefix excision codes for lung and pleura.
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