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E696
E696 – Oesophagoscopy with dilatation of oesophagus
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E696 when performing a therapeutic esophageal dilatation using a balloon or bougie during an OGD (Z399 or Z400) for strictures or rings.
- Use this code specifically for the dilatation component when the primary procedure is the diagnostic or therapeutic endoscopy (Z399/Z400).
Common Pitfalls
- Billing E696 as a standalone procedure; it is an add-on fee and will be rejected if not submitted with Z399 or Z400.
- Confusing E696 with E690 or E692; ensure the procedure performed matches the specific definition of dilatation versus other endoscopic interventions.
Billing Tips
- Ensure the primary procedure code (Z399 or Z400) is billed on the same claim to trigger the eligibility for the E696 add-on fee.
- If performing the procedure after hours or in emergency settings, apply the appropriate premium (E409 or E410) to the total procedural fee, including the E696 component.
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