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E657
E657 – Ilio-femoral thrombectomy - plus I.V.C. ligation
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee payable for the surgical service of ligating the inferior vena cava when performed in addition to ilio-femoral thrombectomy (`R828`). It is identified in the Schedule of Benefits with the '(add)' notation.
When to Use
- Use E657 exclusively as an add-on when you perform an inferior vena cava ligation during the same operative session as an ilio-femoral thrombectomy (R828).
- Apply this code when the clinical necessity for IVC ligation arises specifically as an adjunct to the primary thrombectomy procedure.
Common Pitfalls
- Billing E657 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code requiring R828 on the same claim.
- Failing to link the service date and patient identifier correctly with the primary R828 claim will trigger a mismatch error.
Billing Tips
- Ensure both R828 and E657 are submitted on the same claim to satisfy the mandatory pairing requirement for this add-on fee.
Provider Fee$487.25
Effective: April 1, 2026
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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