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E730

E730Oesophageal resection with reconstruction

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

This is an add-on fee for reconstruction performed at the same time as a total thoracic oesophageal resection (S090). This code must be billed in addition to S090.

When to Use

  • Use E730 exclusively as an add-on to S090 when performing a total thoracic oesophageal resection that includes a formal reconstruction procedure.
  • Apply this code when the reconstruction involves complex tissue mobilization or anastomosis that is distinct from the primary resection fee of S090.

Common Pitfalls

  • Billing E730 as a standalone procedure will result in an automatic rejection; it must be submitted on the same claim as S090.
  • Attempting to use E730 with other oesophageal codes outside of the S090 mandate is a common audit trigger for incorrect code pairing.
  • Failing to link the reconstruction details in the operative report to the specific add-on fee can lead to recovery during a post-payment audit.

Billing Tips

  • Ensure the claim submission sequence lists S090 first, followed by E730, to satisfy the dependency requirement in the OHIP claims processing system.
  • If the procedure qualifies for after-hours premiums (E409/E410), apply the percentage increase to both S090 and E730 to maximize the procedural fee recovery.
Provider Fee$740.95

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

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