E712 – Partial or subtotal gastrectomy - after previous vagotomy and pyloroplasty
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents an add-on service for a partial or subtotal gastrectomy (S123 or S125) when the procedure is performed after a previous vagotomy and pyloroplasty. A flat amount of 126.50 is added to the fee of the base procedure. This code is listed under 'S. Digestive System Surgical Procedures' in the 'STOMACH' section of the Schedule of Benefits.
When to Use
- Use E712 as an add-on code specifically when performing a partial (S123) or subtotal (S125) gastrectomy on a patient who has previously undergone both a vagotomy and a pyloroplasty.
- Apply this code only when the surgical history confirms the prior existence of both specific procedures, as it compensates for the increased technical complexity of operating in a previously altered anatomical field.
Common Pitfalls
- Billing E712 without a corresponding base procedure (S123 or S125) on the same claim will result in an automatic rejection.
- Failing to document the prior vagotomy and pyloroplasty in the operative report creates an audit risk, as the Ministry may request proof of the anatomical history justifying the add-on fee.
Billing Tips
- Ensure the base procedure (S123 or S125) and the add-on code E712 are submitted on the same claim to ensure the premium is correctly applied to the surgical event.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
The specific description for this service is not available in the provided context but would typically be found on page of the Schedule of Benefits.
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