All codes
E664
E664 – Closure of duodenum
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
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.
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