All codes
E853
E853 – Resection of diaphragm including reconstruction
OHIP Surgical Assists Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
This is an add-on surgical procedure code for the resection of the diaphragm, including its reconstruction. It is only payable when performed in conjunction with S727 (Ovarian debulking for ovarian carcinoma of stage 2C, 3B, 3C, or 4).
When to Use
- Use E853 specifically when performing a diaphragmatic resection and reconstruction as part of an ovarian cancer debulking procedure already coded as S727.
- Apply this code when the surgical plan requires the removal of diaphragmatic implants or nodules to achieve optimal cytoreduction in stage 2C, 3B, 3C, or 4 ovarian carcinoma.
Common Pitfalls
- Submitting E853 as a standalone code will result in automatic rejection; it must be linked to the S727 base procedure on the same claim.
- Billing E853 for diaphragmatic procedures unrelated to ovarian debulking (e.g., hernia repair or thoracic surgery) is an incorrect use of this specific add-on code.
Billing Tips
- Ensure the operative report explicitly details the resection and the subsequent reconstruction of the diaphragm to support the medical necessity of this add-on fee.
- Verify that the ovarian carcinoma stage is clearly documented in the patient record, as E853 is strictly restricted to stages 2C, 3B, 3C, or 4.
Provider Fee$145.00
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Female Genital Surgical Procedures
As per , all insured services must be documented in the medical record to establish that the service was provided, medically necessary, and is the service for which the account is submitted.
Sex Restriction
Female
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.