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E852
E852 – Ectopic pregnancy - with tuboplasty
OHIP Surgical Assists Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This code is an add-on to S784 (Ectopic pregnancy - management by any surgical technique) and describes the 'with tuboplasty' component, adding a flat amount of $49.25.
When to Use
- Use E852 only when a formal tuboplasty is performed in conjunction with the primary surgical management of an ectopic pregnancy billed under S784.
- Apply this code when the surgical procedure involves the reconstruction or repair of the fallopian tube to restore patency or function during the ectopic removal.
Common Pitfalls
- Billing E852 without an associated S784 claim will result in an automatic rejection as it is a strictly dependent add-on code.
- Attempting to bill E852 for simple salpingostomy or salpingectomy without documented tuboplasty reconstruction will be flagged as an inappropriate upcoding during a Ministry audit.
Billing Tips
- Ensure your operative report explicitly details the tuboplasty technique used, as the Ministry requires clear evidence of reconstructive effort beyond the standard removal of the ectopic pregnancy.
Provider Fee$49.25
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Other
Code Classes
Diagnostic and Therapeutic Procedures
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