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E713

E713Gastrectomy after previous partial gastrectomy

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

after previous partial gastrectomy

When to Use

  • Use E713 when performing a completion gastrectomy on a patient who has previously undergone a partial gastrectomy (S122 or S123).
  • Select this code specifically for the surgical removal of the remaining gastric remnant, distinguishing it from primary procedures like S125.

Common Pitfalls

  • Billing E713 alongside primary gastrectomy codes (S125) will trigger a rejection, as E713 is specifically for secondary procedures.
  • Failure to document the previous partial gastrectomy in the operative report will lead to audit recovery, as the history is a prerequisite for this specific fee.

Billing Tips

  • Ensure the operative report clearly describes the lysis of adhesions or reconstruction necessitated by the prior surgery to justify the complexity of the secondary procedure.
Provider Fee$137.55

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Other

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