What is OHIP billing code E627?

E627 is "Ruptured aneurysm", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E627 pay?

The current OHIP fee for E627 is $619.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E627 to OHIP?

E627 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E627 claims against the Schedule of Benefits rules before submission.

What codes are related to E627?

Codes related to E627 in the Schedule of Benefits include R802, R803, R817, R877, E626, E986, R875, R888.

All codes

E627

E627 – Ruptured aneurysm

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

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This is an add-on fee payable for ruptured aneurysm, claimed in addition to the fee for the primary procedure, which must be R875 or R888 (Endovascular aneurysm repair using stent grafting).

When to Use

Use E627 exclusively as an add-on when performing an emergent endovascular aneurysm repair (EVAR) for a ruptured abdominal aortic aneurysm using code R875.
Use E627 when performing an emergent endovascular thoracic aneurysm repair (TEVAR) for a ruptured thoracic aortic aneurysm using code R888.

Common Pitfalls

Claiming E627 with open surgical repair codes (e.g., R802 or R803) will result in automatic rejection, as it is strictly limited to endovascular stent grafting procedures.
Failing to link E627 to the primary procedure code R875 or R888 on the same claim submission will cause the premium to be denied.

Billing Tips

Ensure the operative report explicitly documents the rupture to support the medical necessity of the E627 premium in the event of a post-payment audit.
You may stack after-hours premiums (E409 or E410) on top of the primary procedure fee, but ensure the base procedure is eligible for these premiums before applying them to the total claim.

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Provider Fee$619.25

Effective: April 1, 2026

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