E737 – Intra-abdominal procedure add-on
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on code for the insertion of a feeding enterostomy. It is claimed in addition to the fee for the primary intra-abdominal procedure when both are performed during the same operative session. It is listed as an add-on to the service described by S151 (Insertion of feeding enterostomy).
When to Use
- Use E737 when performing a feeding enterostomy (S151) concurrently with a major intra-abdominal surgery such as a bowel resection or gastrectomy.
- Apply this code when the enterostomy is a planned secondary component of a larger abdominal procedure to ensure appropriate nutritional access post-operatively.
Common Pitfalls
- Claiming E737 as a stand-alone service will result in automatic rejection as it requires an associated primary intra-abdominal procedure code.
- Billing E737 without the primary S151 code will trigger a rejection, as the add-on is specifically linked to the insertion procedure.
Billing Tips
- Ensure the primary intra-abdominal procedure is billed on the same claim to validate the eligibility of the E737 add-on.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Procedure
Digestive System Surgical Procedures
This is an add-on code. The description on the schedule reads '- when done with another intra-abdominal procedure - add' immediately following S151.
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