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E750

E750Cystotomy or cystostomy - when done in conjunction with another procedure

OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits

This fee code is an add-on to be claimed for a cystotomy with trochar and cannula and insertion of tube (`Z480`) when it is performed in conjunction with another procedure.

When to Use

  • Claim E750 when performing a suprapubic cystostomy via trochar and cannula (Z480) as a secondary procedure during a primary urological surgery, such as a bladder neck reconstruction or complex urethral repair.
  • Use this code when the cystostomy is medically necessary to provide urinary diversion during a primary procedure that does not inherently include the creation of a suprapubic tract.

Common Pitfalls

  • Billing E750 as a standalone procedure; it is strictly an add-on and must be linked to a primary surgical procedure code on the same claim.
  • Failing to include the primary procedure code (Z480) on the same claim, which will result in an automatic rejection for missing the base service.
  • Attempting to claim E750 when the cystostomy is the primary or sole purpose of the operative session, as this would not meet the 'in conjunction with' criteria.

Billing Tips

  • Ensure the primary procedure is billed at 100% and E750 is appended as the secondary line item to trigger the correct add-on payment.
  • Document the specific clinical indication for the additional cystostomy in the operative report to support the necessity of the add-on during a concurrent procedure.
Provider Fee$27.90

Effective: April 1, 2026

Category

T. Urogenital and Urinary Surgical Procedures

Subcategory

UROGENITAL AND URINARY SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Urogenital and Urinary Surgical Procedures

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