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E724
E724 – Paracentesis - administration of chemotherapy or sclerosing agent
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E724 when performing a therapeutic paracentesis (Z590 or Z591) that includes the instillation of a sclerosing agent for malignant ascites management.
- Use E724 when administering chemotherapy agents directly into the peritoneal cavity during a paracentesis procedure.
Common Pitfalls
- Billing E724 as a standalone code without an accompanying primary procedure code like Z590 or Z591 will result in an automatic rejection.
- Attempting to bill E724 for routine diagnostic or therapeutic paracentesis that does not involve the active administration of a sclerosing or chemotherapy agent is an audit risk.
Billing Tips
- Ensure the medical record clearly documents the specific agent used, as this is the primary justification for the add-on fee.
- E724 is eligible for age premiums and after-hours premiums (E409/E410) when the primary procedure qualifies, as it is considered part of the surgical procedure fee.
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