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E677
E677 – Transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes
OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
This service is payable in addition to the fee for flexible or rigid bronchoscopy (`Z327`). It specifically covers the act of performing a transbronchial needle aspiration (TBNA) to obtain samples from mediastinal and/or hilar lymph nodes. As an add-on procedure, its eligibility is dependent on the proper billing of the primary bronchoscopy. General surgical rules, such as those for multiple procedures and after-hours premiums, apply.
When bronchoscopy, flexible or rigid, is rendered in conjunction with laryngoscopy or oesophagoscopy, only the bronchoscopy is eligible for payment.
Bronchoscopy rendered by the same surgeon immediately following thoracic surgery under the same anaesthetic is not eligible for payment.
Bronchoscopy (including intraoperative bronchoscopy) rendered the same day as a major lung resection is not eligible for payment if a bronchoscopy has been rendered by the same physician to the same patient in the 3-week period preceding the major lung resection.
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