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E695 – Oesophagoscopy-gastroscopy with laser palliation of oesophageal tumour

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

An add-on fee to oesophagoscopy-gastroscopy, with or without duodenoscopy (`Z399 or Z400`), for the laser palliation of an extensive, completely obstructing oesophageal tumour. The fee for this service is determined by Independent Consideration (IC) by a medical consultant. Claims for E695 must be submitted with a supporting letter explaining the amount of the fee claimed, an appropriate operative report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule. See for details on IC.
Claims for services listed as Independent Consideration (IC) must be submitted with a supporting letter explaining the amount of the fee claimed.
Claims for IC services must include an appropriate operative or consultation report.
Claims for IC services must include a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.

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