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E986
E986 – Suprarenal or supraceliac aortic cross clamp
OHIP Surgical Assists Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
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.
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