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E765
E765 – Liver transplant - reconstruction or repair of the hepatic artery
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Add-on fee for liver transplant procedures that includes reconstruction or repair of the hepatic artery, such as re-anastomosis or using a conduit. This service is claimed in addition to the main liver transplant fee. See `S294, S295, S266`. This is an add-on to the liver transplant fee and is not a stand-alone procedure.
When to Use
- Use E765 when performing a complex hepatic artery re-anastomosis necessitated by anatomical variation or vessel damage encountered during a liver transplant (S294, S295, or S266).
- Apply this code when utilizing an interposition graft or conduit to bridge a gap in the hepatic artery during the transplant procedure.
Common Pitfalls
- Billing E765 as a stand-alone procedure will result in an automatic rejection; it must be submitted on the same claim as the primary transplant code.
- Attempting to claim E765 for routine arterial anastomosis inherent to the standard transplant procedure (S294/S295) will be flagged as unbundling.
- Failing to provide specific operative notes detailing the reconstruction technique can lead to recovery during post-payment audits.
Billing Tips
- Ensure the primary transplant code (e.g., S294) is listed first on the claim to establish the surgical context for the E765 add-on.
- If the transplant occurs during after-hours, apply the E409 or E410 premium to the E765 fee to maximize the procedural reimbursement.
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