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E679 – Vein graft harvest remote from site of by-pass

OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

E679 is an add-on fee payable for the harvest of a vein graft from a remote site. This code is only eligible for payment when the patient's saphenous vein is unavailable for use as a graft. It is claimed in addition to the primary vascular surgical procedure being performed.
The medical record should document the reason the saphenous vein was unavailable.

1. Common femoral artery repair (e.g. R784, R785) includes repair to the profunda femoris artery as far as the first major branch. 2. If the repair extends beyond the first major branch of the profunda femoris artery, R815 may be claimed in addition. 3. If the repair extends beyond the second major branch of the profunda femoris artery, R856 instead of R815 may be claimed in addition. 4. For procedures involving the application of a complete aortic cross clamp, the anaesthetic basic fee will depend on: a. the level of application of the cross clamp; and b. the surgical exposure and extent of the aortic repair

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