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E708

E708Vagotomy, add-on to gastrectomy

OHIP Surgical Assists Code · Schedule of Benefits

Vagotomy performed in conjunction with gastrectomy (wedge resection, partial, or subtotal). This is an add-on code to be billed in addition to the primary surgical procedure fee.

When to Use

  • Use E708 when performing a truncal or selective vagotomy during a wedge resection (S122) for peptic ulcer disease.
  • Apply this code when adding a vagotomy to a distal (S123) or proximal (S125) partial gastrectomy procedure.

Common Pitfalls

  • Billing E708 with S128 (Total gastrectomy) will result in an automatic rejection as it is not an approved add-on for total gastrectomy procedures.
  • Failure to explicitly document the specific type of vagotomy performed in the operative report can lead to recovery of funds during a Ministry audit.

Billing Tips

  • Ensure E708 is submitted with suffix A alongside the primary gastrectomy code to trigger the correct add-on payment logic.
Provider Fee$122.05

Effective: April 1, 2025

Service Type

Digestive System Surgical Procedures

Code Classes

Surgery

The surgeon must document the performance of the vagotomy in the operative report.

E708 is specifically listed as an add-on for wedge resection (S122), distal partial gastrectomy (S123), and proximal partial gastrectomy (S125).

It is not listed as an add-on for total gastrectomy (S128) or conversion to Roux-en-y (S129).

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