What is OHIP billing code E635?

E635 is "Palliative endobronchial tumour resection", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E635 pay?

The current OHIP fee for E635 is $67.20, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E635 to OHIP?

E635 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E635 claims against the Schedule of Benefits rules before submission.

What codes are related to E635?

Codes related to E635 in the Schedule of Benefits include Z327.

All codes

E635

E635 – Palliative endobronchial tumour resection

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

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The fee for E635 is payable in addition to the fee for flexible or rigid bronchoscopy (`Z327`) when a palliative endobronchial tumour resection, including laser or cryotherapy, is performed.

When to Use

Use E635 when performing palliative laser therapy or cryotherapy to debulk an endobronchial tumour during a bronchoscopy procedure.
Use E635 as an add-on code specifically when the primary procedural intent is the palliative resection of an obstructing airway lesion.

Common Pitfalls

Billing E635 without an associated Z327 claim will result in an automatic rejection as it is strictly an add-on code.
Attempting to bill E635 for bronchoscopies performed immediately before or after major thoracic surgery or lung resection is prohibited and will trigger audit flags.
Billing E635 in conjunction with laryngoscopy or oesophagoscopy is invalid; only the bronchoscopy (Z327) is eligible for payment in those scenarios.

Billing Tips

Ensure the claim includes both Z327 and E635 on the same submission to correctly capture the base procedure and the palliative resection component.
If the procedure is performed after hours, apply the appropriate E409 or E410 premium to the total procedural fee to maximize reimbursement.

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Provider Fee$67.20

Effective: April 1, 2025

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