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E738

E738Continent ileostomy

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

This is an add-on fee payable for the creation of a continent ileostomy when performed with one of the following primary procedures: `S168, S169, S170, S173 or S174`. This service is performed by a surgeon.

When to Use

  • Use E738 as an add-on when creating a Kock pouch or similar continent reservoir during a total proctocolectomy (S168 or S169).
  • Apply this code when performing a continent ileostomy in conjunction with a total colectomy (S170) or specific ileostomy revisions (S173, S174) that require the construction of the continent mechanism.

Common Pitfalls

  • Submitting E738 without one of the mandatory primary codes (S168, S169, S170, S173, or S174) will result in an automatic rejection.
  • Billing E738 as a standalone procedure is a common error; it is strictly an add-on fee and lacks independent procedural value in the Schedule of Benefits.

Billing Tips

  • Ensure the primary procedure code is listed first on the claim to establish the surgical context required for the E738 add-on to process correctly.
Provider Fee$441.10

Effective: April 1, 2026

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

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