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E648

E648Excision of extensive endocardial scar

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

The description for E648 is 'excision of extensive endocardial scar, to ventriculotomy or aneurysm repair - add'. This is an add-on fee payable to the surgeon and must be claimed in conjunction with a primary procedure such as R746 (Ventricular aneurysm), R747 (Aneurysm of sinus of Valsalva), or a ventriculotomy procedure (e.g., R712, R710).

When to Use

  • Use E648 when performing an endocardial scar excision during a ventricular aneurysm repair (R746).
  • Use E648 when the excision of extensive endocardial scar is required as an adjunct to a ventriculotomy procedure such as R710 or R712.

Common Pitfalls

  • Billing E648 as a standalone procedure; it will be rejected as it is strictly an add-on code requiring a primary surgical procedure.
  • Failing to link E648 to the primary procedure code on the same claim, which causes automated rejection by the Ministry.

Billing Tips

  • Ensure the primary procedure (e.g., R746 or R712) is listed first on the claim to establish the surgical context for the add-on fee.
  • If the surgery occurs after hours, ensure the appropriate premium (E409 or E410) is applied to the primary procedure, as the add-on fee will follow the primary procedure's eligibility.
Provider Fee$135.80

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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