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E758
E758 – Oesophageal hiatus hernia repair
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E758 when performing a formal hiatal hernia repair concurrently with a Heller myotomy (S161) to prevent post-operative gastroesophageal reflux.
- Apply this code when the surgical approach necessitates a crural repair during a total thoracic oesophageal myotomy (S100) for achalasia.
Common Pitfalls
- Billing E758 as a standalone procedure will result in an automatic rejection, as it is strictly an add-on code requiring S100 or S161.
- Failing to include the appropriate VATS or robotic modifier (E683) when the hernia repair is performed via these approaches results in significant under-billing of the surgical premium.
Billing Tips
- Ensure the operative report explicitly details the crural dissection and closure to justify the E758 add-on, as this is a frequent target for Ministry of Health post-payment audits.
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