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E665
E665 – Carotid endarterectomy with patch graft
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
- with patch graft, to R792
When to Use
- Use E665 specifically when performing a carotid endarterectomy that includes the application of a patch graft to the arteriotomy site.
- Select E665 instead of R792 when the surgical technique mandates the use of a patch to prevent stenosis or address vessel diameter issues.
Common Pitfalls
- Billing E665 alongside R792 is redundant and will result in a rejection as E665 is the definitive procedure code for the patch graft technique.
- Failing to document the specific material used for the patch graft can lead to audit scrutiny regarding the necessity of the procedure over a primary closure.
Billing Tips
- Ensure the operative report explicitly mentions the patch graft, as this is the primary differentiator between E665 and standard endarterectomy codes.
Provider Fee$419.00
Effective: April 1, 2025
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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