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E986

E986Suprarenal or supraceliac aortic cross clamp

OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

This fee code is an add-on payable to the surgeon when a suprarenal or supraceliac aortic cross clamp is required during specific abdominal or aorto-iliac aorta repair procedures. It must be billed in conjunction with one of the following primary procedure codes: R802, R896, R817, or R886.

When to Use

  • Use E986 when performing an open repair of a juxtarenal or suprarenal abdominal aortic aneurysm (AAA) using R802 or R896 where the clamp must be placed above the renal arteries.
  • Use E986 during complex aorto-iliac reconstructions (R817 or R886) where the extent of disease necessitates supraceliac control to achieve a safe proximal anastomosis.

Common Pitfalls

  • Billing E986 without one of the four mandatory primary procedure codes (R802, R896, R817, or R886) will result in an automatic claim rejection.
  • Attempting to bill E986 for infrarenal aortic cross-clamping is an audit risk, as the code specifically requires suprarenal or supraceliac positioning.

Billing Tips

  • Ensure the operative report explicitly states the location of the aortic cross-clamp to justify the use of E986 over standard infrarenal procedures.
  • E986 is an add-on fee; ensure it is submitted on the same claim as the primary procedure code to avoid processing delays.
Provider Fee$250.00

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Premium

Code Classes

Cardiovascular Surgical Procedures

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