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E804
E804 – Injection of metastases, nodes, masses, or celiac plexus
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is an add-on to the main endoscopic ultrasound procedure fee, as indicated by '... add' in the Schedule of Benefits. It covers the injection of one or more of the following: metastases, nodes, masses, or celiac plexus. The listed fee for E804 is added to the fee for the primary procedure (e.g., `S236A or S237A`).
When to Use
- Use E804 when performing a therapeutic celiac plexus block during an endoscopic ultrasound procedure to manage pain in pancreatic malignancy.
- Use E804 when injecting therapeutic agents or markers directly into a target mass or lymph node identified during an EUS procedure (S236A or S237A).
Common Pitfalls
- Billing E804 as a standalone procedure will result in automatic rejection, as it is strictly an add-on code requiring a primary endoscopic ultrasound fee.
- Attempting to bill E804 multiple times for multiple injections in the same session is incorrect; the fee is intended to cover the injection procedure regardless of the number of sites injected.
Billing Tips
- Ensure E804 is submitted on the same claim as the primary endoscopic ultrasound code (e.g., S236A) to avoid processing errors.
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