E650 – Cardiopulmonary bypass pump run
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run.
When to Use
- Use E650 as the primary surgical fee for the initiation and supervision of cardiopulmonary bypass, including the cannulation and decannulation of major vessels.
- Claim E650 in conjunction with E682 when a graft of a major vessel (excluding the ascending aorta) is specifically required to facilitate the bypass or ventricular assist device setup.
Common Pitfalls
- Do not bill G269 or G268 alongside E650, as these services are considered inclusive in the major cardiovascular surgical fee structure.
- Avoid billing E650 for the anaesthesiologist; they must use E650C with 28 basic units plus time units when a pump is utilized.
Billing Tips
- Ensure E682 is submitted on the same claim as E650 to capture the additional fee for non-ascending aorta grafts required for bypass.
Effective: April 1, 2026
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
Preliminary diagnostic catheterization - extra to operative fees (see Diagnostic and Therapeutic Procedures).
Anaesthesiologist - see General Preamble to .
For the anaesthesiologist, when a pump (with or without an oxygenator and with or without Hypothermia) is used in conjunction with an anaesthetic for cardiovascular procedures, submit claim using E650C with 28 basic units plus time units, instead of the basic units for the cardiovascular procedure.
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