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E861
E861 – Paracervical block
OHIP Surgical Assists Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Payable in addition to endometrial sampling, ablation or curettage by the same physician in an office. This service applies whether the block is unilateral or bilateral.
When to Use
- Use E861 when performing a paracervical block to provide local anesthesia specifically for an office-based endometrial biopsy (Z770) or diagnostic curettage (S768).
- Apply this code when administering a block for endometrial ablation procedures (S772) performed in an office setting to manage patient discomfort.
Common Pitfalls
- Billing E861 as a standalone procedure will result in rejection, as it is strictly an add-on code that requires a primary surgical procedure code on the same claim.
- Attempting to bill E861 for procedures outside the specified list, such as IUD insertions or routine pelvic exams, is an invalid use of the code.
Billing Tips
- Ensure the primary procedure (e.g., Z770 or S768) is billed on the same claim to trigger the payment for the add-on E861 fee.
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