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E749
E749 – Private office premium for specified procedures
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E749 when performing a flexible sigmoidoscopy (Z512) in a private office setting rather than a hospital endoscopy suite.
- Apply this premium when conducting a diagnostic or therapeutic procedure such as a Z491 (polypectomy) specifically within your private office facility.
Common Pitfalls
- Billing E749 for procedures performed in a hospital or clinic that is part of a hospital facility will result in automatic rejection.
- Attempting to bill E749 as a standalone service without an accompanying primary procedure code from the Z491-Z580 list will trigger a claim error.
Billing Tips
- Ensure the procedure code (e.g., Z512) and the E749 premium are submitted on the same claim to ensure the premium is correctly linked to the eligible service.
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