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E664

E664Closure of duodenum

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

This fee code represents the surgical closure of the duodenum. It is intended to be claimed in addition to a primary procedure, such as Aorto-Iliac repair (e.g., R783, R784, R785).

When to Use

  • Use E664 when a duodenal injury is identified and repaired during the course of an Aorto-Iliac repair (e.g., R783, R784, R785).
  • Claim this code when duodenal closure is required as a secondary, distinct surgical step following the primary vascular procedure.

Common Pitfalls

  • Attempting to bill E664 as a standalone procedure; it is strictly an add-on code and will be rejected without a primary vascular procedure code.
  • Failing to link the primary procedure code (e.g., R783) on the same claim, which is required for the Ministry to validate the add-on status of E664.

Billing Tips

  • Ensure the operative report explicitly details the duodenal closure to support the claim in the event of a post-payment audit.
Provider Fee$127.05

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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