All codes
E659
E659 – Aortic arch reconstruction - with thoracotomy
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Aortic arch reconstruction - with thoracotomy
When to Use
- Use E659 when performing a formal reconstruction of the aortic arch requiring a thoracotomy approach, distinct from endovascular interventions.
- Select E659 for open surgical repair of aortic arch pathology where the procedure is primary and not incidental to a more comprehensive cardiac bypass procedure.
Common Pitfalls
- Billing E659 in conjunction with R830, R831, or R832 is often flagged as unbundling if the services are considered part of the same operative field or surgical session.
- Failure to document the specific thoracotomy approach can lead to audit reclassifications if the procedure is later determined to be a less invasive or alternative surgical technique.
Billing Tips
- Ensure the operative report explicitly details the thoracotomy and the specific reconstruction technique to justify the E659 fee over lower-complexity vascular codes.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.