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E988

E988Extracranial stent with endovascular thrombectomy

OHIP Surgical Assists Code · Schedule of Benefits

An add-on fee for the deployment of an extracranial stent during an endovascular thrombectomy (EVT) for acute ischemic stroke secondary to large vessel occlusion.

When to Use

  • Use E988 when you deploy an extracranial carotid stent to facilitate access or treat tandem lesions during an N131 endovascular thrombectomy procedure.
  • Apply this code specifically when the stent is placed in the extracranial vasculature, distinguishing it from intracranial stenting which requires E987.

Common Pitfalls

  • Billing E988 alongside E987 for the same session is prohibited, as both are restricted to a single payment per N131 encounter.
  • Submitting E988 with any 'X' or 'J' prefix service codes will result in automatic rejection due to the strict operative session exclusivity rules.
  • Attempting to bill for imaging interpretation in conjunction with N131 and E988 will trigger a rejection, as all imaging is considered bundled into the primary procedure.

Billing Tips

  • Ensure E988 is submitted strictly as an add-on to the primary N131 code to avoid claim processing errors.
  • Document the specific anatomical location of the extracranial stent clearly to justify the use of E988 over the intracranial E987 code during an audit.
Provider Fee$450.00

Effective: April 1, 2026

Service Type

Surgical

Code Classes

Procedure

The service must involve the deployment of an extracranial stent during an EVT session.

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