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E735
E735 – Laparotomy with splenectomy
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This billing code represents an add-on fee for performing a partial or complete splenectomy during a laparotomy for acute trauma. It is claimed by the surgeon in addition to the fee for the main procedure, `S321`. This service has an associated assistant fee component.
When to Use
- Use E735 as an add-on code specifically when a splenectomy is performed during an exploratory laparotomy for acute trauma (S321).
- Apply this code when the splenectomy is the secondary procedure necessitated by the trauma findings during the primary laparotomy.
Common Pitfalls
- Claiming E735 without an associated primary laparotomy code like S321 will result in an automatic rejection.
- Failing to document the Injury Severity Score (ISS) in the operative report will lead to the denial of the E420 trauma premium when billed alongside E735.
Billing Tips
- Ensure E735 is submitted on the same claim record as the primary S321 procedure to maintain the correct billing hierarchy and avoid processing delays.
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