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E646

E646Vein patch angioplasty of coronary artery

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

This code is for a vein patch angioplasty of the coronary artery. It is an add-on procedure that must be claimed in addition to the primary coronary artery repair procedure. Specifically, it is added to R742 (Coronary artery repair, one) or R743 (Coronary artery repair, two).

When to Use

  • Use E646 when a vein patch is required to reconstruct or enlarge the coronary artery lumen during a primary repair procedure billed as R742 or R743.
  • Claim this code specifically when the surgical technique involves the application of a patch graft to the coronary artery, rather than a simple primary closure.

Common Pitfalls

  • Billing E646 as a standalone procedure will result in automatic rejection; it must be submitted on the same claim as the primary R742 or R743.
  • Attempting to bill E646 for routine closure of the arteriotomy without the use of a patch graft is an audit risk and constitutes an invalid claim.

Billing Tips

  • Ensure the operative report explicitly details the use of a vein patch, as this documentation is required to justify the additional fee over the base repair code.
Provider Fee$187.80

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures

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