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E649
E649 – Embolectomy and/or thrombectomy
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
E649 is an add-on code payable for performing an embolectomy and/or thrombectomy in conjunction with other vascular surgical procedures. This code is intended to be billed in addition to the primary vascular procedure code.
When to Use
- Use E649 when performing a thrombectomy or embolectomy via a separate incision or access point during a primary vascular procedure like a bypass graft.
- Use E649 when clearing an acute thrombus from a vessel that is not the primary site of the main vascular reconstruction procedure.
- Use E649 to capture the additional work of clearing distal or proximal emboli during a primary vascular intervention.
Common Pitfalls
- Billing E649 as a standalone procedure; it is strictly an add-on code and will be rejected if submitted without a primary vascular procedure code.
- Attempting to bill E649 for thrombectomy that is considered an integral component of the primary procedure (e.g., clearing the graft itself during a bypass).
- Confusing E649 with E679; ensure the specific vascular site and technique match the definitions provided in the Schedule of Benefits.
Billing Tips
- Always ensure the primary vascular procedure code is listed first on the claim to prevent automatic rejection of the E649 add-on.
- If the procedure is performed after hours or for trauma, apply the relevant premiums (E409, E410, or E420) to the primary procedure code, as E649 is typically treated as part of the total procedural fee for premium calculations.
Provider Fee$112.45
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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