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E626

E626Implantation of inferior mesenteric artery

OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

Payable as an addition to R802, R896, R817, or R886 when implantation of the inferior mesenteric artery is performed.

When to Use

  • Use E626 as an add-on code when performing the re-implantation of the inferior mesenteric artery during an open abdominal aortic aneurysm repair (R802 or R896).
  • Apply E626 when the inferior mesenteric artery is reimplanted into a prosthetic graft during complex vascular reconstruction procedures involving the R817 or R886 codes.

Common Pitfalls

  • Billing E626 as a standalone procedure; it is strictly an add-on code and will be rejected if not submitted on the same claim as R802, R896, R817, or R886.
  • Attempting to bill E626 for routine vessel ligation or simple bypass procedures that do not involve the specific re-implantation of the inferior mesenteric artery into the graft.

Billing Tips

  • Ensure the primary procedure (R802, R896, R817, or R886) is listed first on the claim to ensure the E626 add-on is correctly processed by the system.
  • Document the specific technical details of the inferior mesenteric artery reimplantation in the operative report to support the add-on fee in the event of a post-payment audit.
Provider Fee$174.35

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Cardiovascular Surgical Procedures

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