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E663

E663Interruption of bronchial collateral arteries - when done in conjunction with other cardiac surgery

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

This is an add-on code for the interruption of one or more bronchial collateral arteries. This fee is claimed in addition to the primary cardiac surgery fee when this procedure is performed during the same operative session. It is not intended to be a standalone procedure; for that, see R857.

When to Use

  • Use E663 when performing the ligation or division of bronchial collateral arteries during a primary cardiac procedure, such as a complex congenital heart repair or aortic surgery.
  • Use this code specifically when the collateral interruption is a secondary, planned component of a larger cardiac operative session, distinct from the primary procedure.

Common Pitfalls

  • Billing E663 as a standalone procedure will result in automatic rejection; use R857 if the interruption is the sole procedure performed.
  • Failing to link E663 to a primary cardiac surgical fee on the same claim will lead to payment denial, as it is strictly defined as an add-on code.

Billing Tips

  • Ensure the primary cardiac surgery code is listed first on the claim to establish the surgical context required for the E663 add-on payment.
  • Apply relevant age premiums (e.g., under 30 days or under 1 year) to the E663 fee if the patient meets the specific age criteria, as the add-on is considered part of the surgical procedure fee.
Provider Fee$183.00

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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