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E860
E860 – Diagnostic laparoscopy prior to laparotomy
OHIP Surgical Assists Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Diagnostic laparoscopy prior to laparotomy, eligible as an add-on to S784 (Ectopic pregnancy - management by any surgical technique) with a flat amount of 131.45.
When to Use
- Use E860 when you perform an initial diagnostic laparoscopy to confirm an ectopic pregnancy before proceeding to a definitive laparotomy for surgical management.
- Apply this code when the diagnostic findings from the laparoscopy directly necessitate the conversion to an open laparotomy procedure (S784).
Common Pitfalls
- Billing E860 without an associated S784 claim will result in an automatic rejection as it is strictly an add-on code.
- Do not bill E860 if the ectopic pregnancy is managed entirely via laparoscopy, as this code is specifically designated for cases requiring subsequent laparotomy.
Billing Tips
- Ensure the operative report clearly documents the diagnostic laparoscopy findings and the clinical justification for the transition to an open laparotomy to support the simultaneous billing of both codes.
Provider Fee$131.45
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
AddOn
Code Classes
Diagnostic and Therapeutic Procedures
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