What is OHIP billing code E630?

E630 is "Endoscopic placement of stent in colon", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E630 pay?

The current OHIP fee for E630 is $137.05, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E630 to OHIP?

E630 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E630 claims against the Schedule of Benefits rules before submission.

What codes are related to E630?

Codes related to E630 in the Schedule of Benefits include Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498.

All codes

E630

E630 – Endoscopic placement of stent in colon

OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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E630 is an add-on code for the endoscopic placement of a stent in the colon, intended to be billed in addition to one of the primary colonoscopy procedures: Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499, or Z555.

When to Use

Use E630 when performing a palliative colonic stent placement for malignant obstruction in conjunction with a diagnostic or therapeutic colonoscopy (e.g., Z491).
Use E630 when placing a colonic stent as a bridge to surgery for acute large bowel obstruction, billed alongside the primary colonoscopy code (e.g., Z492).

Common Pitfalls

Billing E630 without an eligible primary colonoscopy code (Z491-Z499 or Z555) will result in an automatic rejection.
Attempting to bill E630 as a standalone procedure is invalid; it must be submitted on the same claim as the endoscopic procedure to be considered for payment.

Billing Tips

Ensure the primary colonoscopy code is billed as the main service and E630 is appended as the secondary procedure to ensure proper processing of the add-on fee.
When performing the procedure after hours, apply the relevant after-hours premium (e.g., E409 or E410) to the total procedural fee, as E630 is considered part of the surgical procedure package.

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Provider Fee$137.05

Effective: April 1, 2025

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