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E711

E711Gastrectomy - after previous gastro-enterostomy

OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This is an add-on fee payable in addition to `S134` (Gastroduodenostomy or gastrojejunostomy). It applies when the current procedure is complicated by a previous gastroenterostomy. This fee is claimed by the surgeon (suffix A).

When to Use

  • Use E711 only when performing a gastrectomy in a patient who has a documented prior gastro-enterostomy.
  • This code must be billed in conjunction with S134 to account for the increased technical complexity of operating on previously altered anatomy.

Common Pitfalls

  • Billing E711 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code to S134.
  • Failing to document the specific nature of the previous gastro-enterostomy in the operative report poses a significant audit risk for this add-on fee.

Billing Tips

  • Ensure S134 is the primary procedure code on your claim, with E711 listed as the secondary code to trigger the additional payment.
Provider Fee$121.35

Effective: April 1, 2026

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Digestive System Surgical Procedures

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