All codes
E812
E812 – E812
OHIP Surgical Assists Code · Schedule of Benefits
for repeat resection procedures
When to Use
- Use E812 when performing a repeat resection procedure on the same site where a primary resection (such as S267, S270, or S271) was previously completed.
- Apply this code to indicate the increased complexity and technical difficulty associated with operating on previously scarred or altered anatomical planes.
Common Pitfalls
- Billing E812 without a corresponding primary resection code (S267, S270, or S271) on the same claim will lead to automatic rejection.
- Failing to document the specific anatomical site of the previous surgery can trigger an audit, as E812 is only valid for repeat procedures at the same site.
Billing Tips
- Ensure the primary resection code is billed at 100% and E812 is appended to justify the repeat nature of the intervention to avoid payment discrepancies.
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