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E813
E813 – E813
OHIP Surgical Assists Code · Schedule of Benefits
When to Use
- Use E813 as an add-on code when performing radiofrequency ablation (RFA) specifically for the treatment of dysplastic Barrett’s esophagus during a gastroscopy.
- Apply this code only when the primary procedure is billed under Z399 (gastroscopy), Z515 (esophagoscopy), or Z527 (upper gastrointestinal endoscopy).
Common Pitfalls
- Billing E813 without an eligible primary endoscopy code (Z399, Z515, or Z527) will result in an automatic rejection.
- Attempting to bill E813 for non-dysplastic Barrett’s esophagus or other esophageal conditions not meeting the specific dysplasia criteria will lead to audit recovery.
Billing Tips
- Ensure the pathology report confirming dysplasia is clearly linked to the date of service to support the medical necessity of the ablation procedure.
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