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E708
E708 – Vagotomy, 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.
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