E793 – Laparoscopic or laparoscopic assisted splenectomy
OHIP Surgical Assists Code — HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES · Schedule of Benefits
A premium that increases the fee of an eligible primary surgical procedure by 25%. This code is applicable when the surgery is performed using laparoscopic or laparoscopic-assisted techniques. It is an add-on code and must be billed in conjunction with one of the specified primary procedure codes. The primary procedures it applies to range from splenectomy (R905) and various digestive system surgeries (e.g., S091, S120, S167) to endocrine surgeries like adrenalectomy (S798). See the list of applicable codes for complete details.
When to Use
- Use E793 when performing a complete or partial splenectomy via a laparoscopic approach to increase the base fee of R905 by 25%.
- Apply E793 when the surgical procedure is documented as laparoscopic-assisted, ensuring the primary procedure code is one of the specific codes eligible for this premium.
Common Pitfalls
- Billing E793 with a primary procedure code that is not explicitly listed in the Schedule of Benefits as eligible for this specific laparoscopic premium will result in an automatic rejection.
- Failing to link E793 to the primary surgical code on the same claim submission can lead to the premium being denied or processed incorrectly.
Billing Tips
- Always verify the current Schedule of Benefits list for eligible primary codes, as E793 is strictly limited to specific surgical procedures and cannot be applied to all laparoscopic surgeries.
Percentage Premium: 0.25%
This code applies a percentage increase to the base procedure fee
Effective: September 1, 2011
R. Haematic and Lymphatic Surgical Procedures
HAEMATIC AND LYMPHATIC SURGICAL PROCEDURES
PercentageIncrease
Other Premiums (including After Hours Procedure Premiums)
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