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E692

E692Oesophagoscopy with laser debulking

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

This fee code is payable in addition to oesophagoscopy-gastroscopy, with or without duodenoscopy (Z399 or Z400), when laser debulking is performed during the procedure.

When to Use

  • Use E692 as an add-on code when performing laser ablation or debulking of esophageal tumors or strictures during a standard Z399 or Z400 procedure.
  • Apply this code specifically when the intent and action involve the physical removal or reduction of tissue via laser, distinct from simple diagnostic biopsy or dilation.

Common Pitfalls

  • Billing E692 without an associated Z399 or Z400 procedure will result in an automatic rejection, as it is strictly an add-on fee.
  • Confusing E692 with E696 or E702; ensure the specific modality (laser) is documented in the operative report to justify the E692 claim over other therapeutic codes.

Billing Tips

  • Always link E692 to the primary procedure code (Z399/Z400) on the same claim to ensure the system recognizes the procedural relationship.
  • Ensure the operative note explicitly mentions 'laser debulking' or 'laser ablation' to satisfy audit requirements for this specific procedural fee.
Provider Fee$69.70

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Procedure

Code Classes

Digestive System Surgical Procedures

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