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E672
E672 – Composite femoral popliteal/tibial bypass
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service is an add-on to primary bypass procedures such as femoro-popliteal bypass with saphenous vein (R791), with prosthetic graft (R794), or femoro-anterior/posterial tibial/peroneal bypass graft with saphenous or arm vein (R787) or with prosthetic graft (R780). The note on page of the Schedule of Benefits specifies that this procedure, along with the primary bypass grafts, can be performed with or without endarterectomy.
When to Use
- Use E672 when performing a composite bypass graft that extends a primary femoro-popliteal or femoro-tibial bypass (R791, R794, R787, or R780) to reach an additional target vessel.
- Apply this code when the surgical plan involves a multi-segment bypass construction that exceeds the scope of a single primary bypass procedure.
Common Pitfalls
- Billing E672 as a standalone procedure will result in automatic rejection, as it is strictly an add-on code requiring a primary bypass code on the same claim.
- Failure to link the primary bypass code (R791, R794, R787, or R780) on the same date of service will trigger an audit or rejection for missing the base procedure.
Billing Tips
- Ensure the primary bypass code is billed as the main service and E672 is appended to capture the additional complexity of the composite graft construction.
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