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E814
E814 – Portal lymphadenectomy
OHIP Surgical Assists Code · Schedule of Benefits
Portal lymphadenectomy performed as an add-on to specific hepatectomy or choledochectomy procedures.
When to Use
- Use E814 when performing a formal portal lymphadenectomy during a radical resection for cholangiocarcinoma or gallbladder cancer alongside a base procedure like S291.
- Apply E814 when conducting a comprehensive lymph node clearance around the porta hepatis in conjunction with major liver resections such as S267, S270, or S271.
Common Pitfalls
- Billing E814 for simple lymph node sampling or biopsy will result in rejection; the operative report must explicitly document the complete clearance of tissue surrounding the common bile duct, hepatic artery, and portal vein.
- Submitting E814 without an eligible base procedure (S267, S269, S270, S271, S275, or S291) will trigger an automatic claim rejection.
Billing Tips
- Ensure the operative note specifically lists the dissection of the portal triad structures to satisfy the Ministry's audit requirements for this add-on code.
Provider Fee$287.65
Effective: April 1, 2026
Service Type
Surgical Add-on
Code Classes
Surgery
A formal portal lymphadenectomy must be performed.
The operative record must explicitly describe the removal of all lymphatic tissue surrounding the common bile duct, hepatic artery, and portal vein.
S267Hepatectomy, three or four liver segmentsS269Local excision of lesion (less than 5 cm)S270Hepatectomy, one or two liver segmentsS271Hepatectomy, five or more liver segmentsS275Partial lobectomy (excision greater than 5 cm)S291Choledochectomy for tumourE812Repeat resection procedures add-onE793Laparoscopic or laparoscopic assisted add-on
E814 is only eligible for payment when a formal portal lymphadenectomy has been performed and the operative record describes removal of all lymphatic tissue surrounding the common bile duct/ hepatic artery and portal vein.
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