All codes
E684
E684 – Insertion of subcutaneous venous access reservoir or implantable central venous catheter in infant or child
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use E684 as an add-on when performing an insertion of an implantable central venous catheter (Z456) on a patient aged 29 days up to 15 years.
- Use E684 when performing an insertion of a subcutaneous venous access reservoir (Z446) on a pediatric patient within the specified age range.
Common Pitfalls
- Billing E684 for patients aged 16 or older will result in an automatic rejection as the code is strictly limited to patients up to 15 years of age.
- Attempting to bill E684 as a standalone procedure code will result in rejection; it must be submitted on the same claim as the primary procedure code Z456 or Z446.
- Billing E684 for neonates under 29 days old is incorrect, as the GP2 definition for infant starts at 29 days.
Billing Tips
- Ensure the claim includes both the primary procedure code (Z456 or Z446) and the E684 add-on code to trigger the premium payment correctly.
Provider Fee$233.65
Effective: April 1, 2026
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Premium
Code Classes
Other Premiums (including After Hours Procedure Premiums)
Age Restriction
Payable when the service is performed on an infant or child. Per GP2, an infant is from 29 days up to, but not including, 2 years of age, and a child is from 2 years to and including 15 years of age.
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