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E520 – Excision of additional polyp (6 mm to 9 mm)

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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This is an add-on fee payable for the excision of each additional polyp measuring between 6 mm and 9 mm in size, performed during the same colonoscopy session. The fee for the primary polyp excision should be claimed using the appropriate 'Z' code corresponding to the size of the largest polyp removed (Z571, Z518, Z517, or Z516). This fee is claimed per additional polyp and is subject to usage limits.
Usage limits
[2, "day", "per_patient", "A maximum of 2 services of any combination of E720, E520, E519, or E518 are eligible for payment per patient per day."]
Z571E720Z518Z517E519Z516E518

The largest polyp excised should be used to determine the appropriate fee code to claim for the first polyp (Z571, Z518, Z517 or Z516).

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