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E681

E681Insertion of additional endobiliary prosthesis and/or pancreatic stent

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

This is an add-on service for the insertion of each additional endobiliary prosthesis and/or pancreatic stent during an Endoscopic Retrograde Cholangiopancreatography (ERCP). The service is limited to a maximum of 3 additional stents per patient, per procedure. The first stent insertion is claimed using E680.

When to Use

  • Use E681 when placing a second or third biliary stent during the same ERCP session where the primary stent was billed under E680.
  • Use E681 for the simultaneous placement of a pancreatic stent alongside a biliary stent, provided the initial stent is claimed under E680.

Common Pitfalls

  • Claiming E681 without a corresponding E680 on the same claim, which will result in an automatic rejection.
  • Exceeding the maximum limit of 3 units of E681 per procedure, as any units beyond the third will be rejected by the system.
  • Attempting to bill E681 without one of the required base procedure codes (Z561, Z558, or Z760) present on the claim.

Billing Tips

  • Ensure the quantity field for E681 accurately reflects the number of additional stents placed (up to 3) to avoid under-billing.
Provider Fee$43.60

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Digestive System Surgical Procedures

Unless otherwise specified, there is no additional fee payable for cholangiogram during abdominal surgery.

E662, E666, E668, E702, E680, E681, E669, and E816 are payable with Z561, Z558 or Z760.

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