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E651

E651Coronary endarterectomy and/or gas endarterectomy

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

E651 is an add-on fee for coronary endarterectomy and/or gas endarterectomy, payable to the surgeon when performed in conjunction with a primary coronary artery repair (R742 or R743). This fee is claimed in addition to the fee for the primary procedure.

When to Use

  • Use E651 when performing a formal endarterectomy of a coronary artery to remove atherosclerotic plaque during a primary bypass procedure (R742 or R743).
  • Use E651 when gas endarterectomy is specifically utilized to clear a coronary vessel as part of the primary revascularization strategy.

Common Pitfalls

  • Claiming E651 as a standalone procedure; it is strictly an add-on and will be rejected if not linked to a primary coronary artery repair code like R742 or R743.
  • Failing to document the specific technique (endarterectomy or gas endarterectomy) in the operative report, which risks recovery during a post-payment audit.

Billing Tips

  • Ensure E651 is submitted on the same claim as the primary coronary artery repair to trigger the correct payment logic.
  • If performing endarterectomy on multiple vessels, verify if the Schedule allows for multiple units of E651 or if it is a flat fee per operative session.
Provider Fee$202.05

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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