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E756
E756 – Umbilical Hernia Repair - Add-on for Resection of Strangulated Contents
OHIP Surgical Assists Code — Abdomen, Peritoneum and Omentum · Schedule of Benefits
This is an add-on fee payable in addition to the primary umbilical hernia repair procedure when resection of strangulated contents is performed. This service is listed under the Herniotomy (Umbilical) subsection of Digestive System Surgical Procedures. The fee for E756 is added to the fee for the primary procedure.
When to Use
- Use E756 when performing an umbilical hernia repair (e.g., S332 or S333) where the incarcerated bowel or omentum is non-viable and requires formal resection.
- Use this code specifically when the surgical report confirms that the strangulated contents were removed, distinguishing it from a simple reduction of incarcerated contents.
Common Pitfalls
- Billing E756 alongside E757 is a common error; these codes are mutually exclusive and will trigger an automatic rejection.
- Attempting to bill E756 without a primary umbilical hernia repair code (e.g., S332) will result in a claim rejection as it is strictly an add-on fee.
- Failing to explicitly document the resection of necrotic or non-viable tissue in the operative report creates a significant audit risk for this specific add-on.
Billing Tips
- Ensure the primary procedure code (e.g., S332) is submitted on the same claim to prevent the add-on from being denied as an orphan service.
- Apply relevant age premiums (e.g., under 16 years) to the total fee, as the percentage increase applies to the combined value of the primary procedure and the E756 add-on.
Provider Fee$24.50
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
Category
Digestive System Surgical Procedures
Subcategory
Abdomen, Peritoneum and Omentum
Service Type
Procedure
Code Classes
Digestive System Surgical Procedures
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