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E755
E755 – Penile prosthesis - inflatable
OHIP Surgical Assists Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on fee payable to the surgeon in addition to the amount for `S597A` when an inflatable prosthesis is used for penile prosthesis implantation. This fee is claimed with suffix A.
When to Use
- Use E755 as an add-on fee exclusively when performing a penile prosthesis implantation using an inflatable device, which is coded as S597A.
- Claim E755 only when the specific inflatable mechanism is utilized, distinguishing it from non-inflatable or malleable prosthesis procedures.
Common Pitfalls
- Failing to link E755 to the primary procedure S597A will result in an automatic rejection by the claims system.
- Attempting to claim E755 for non-inflatable penile implants is a billing error that will trigger audit scrutiny for incorrect code usage.
- Billing E755 as a standalone service without the corresponding S597A procedure code is invalid and will not be paid.
Billing Tips
- Always ensure E755 is submitted with the same service date and patient identifier as the primary S597A procedure to maintain claim integrity.
Provider Fee$74.30
Effective: April 1, 2026
Category
U. Male Genital Surgical Procedures
Subcategory
MALE GENITAL SURGICAL PROCEDURES
Service Type
Other
Code Classes
Male Genital Surgical Procedures
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