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E647

E647Patch aortoplasty with pericardium or graft

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

This is an add-on fee for performing a patch aortoplasty, which involves using pericardium or a graft to augment the aorta. This procedure is payable to the surgeon in addition to the primary procedure of aortic valve replacement (R732) and/or aortic annuloplasty (E656).

When to Use

  • Use E647 when performing an aortic root enlargement or patch augmentation using pericardium or a graft during an aortic valve replacement (R732).
  • Apply this code when the aortic annulus requires reconstruction or widening to accommodate a larger prosthetic valve during a primary procedure like R732 or E656.

Common Pitfalls

  • Billing E647 as a standalone procedure; it is strictly an add-on code and will be rejected if not submitted with a qualifying primary aortic procedure.
  • Confusing E647 with general graft codes; ensure the documentation specifically describes the patch aortoplasty technique rather than a standard vascular graft repair.

Billing Tips

  • Ensure the primary procedure (e.g., R732) is billed on the same claim to prevent the automatic rejection of the add-on fee.
Provider Fee$264.70

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures

The note on this page 'Multivalvular replacement - the fee will be that for the major valve replaced plus 85% of the fee for the additional valve or valves' applies to the primary valve replacement procedures, not this specific add-on code.

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