What is OHIP billing code E751?

E751 is "Cystoscopy with insertion of chemotherapeutic agent(s)", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E751 pay?

The current OHIP fee for E751 is $58.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E751 to OHIP?

E751 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E751 claims against the Schedule of Benefits rules before submission.

What codes are related to E751?

Codes related to E751 in the Schedule of Benefits include Z606, Z607, E775, E817, E776, E818, E777, E780.

All codes

E751

E751 – Cystoscopy with insertion of chemotherapeutic agent(s)

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

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This service is an add-on to a primary cystoscopy procedure, such as Z606, and involves the insertion of one or more chemotherapeutic agents into the bladder. It is listed under the Diagnostic and Therapeutic Procedures for Endoscopy - Cystoscopy. As per the note on page of the Schedule, this code is not eligible for payment when billed with Z603 or Z611.

When to Use

Use E751 as an add-on when performing an intravesical chemotherapy instillation (e.g., Mitomycin C or Gemcitabine) immediately following a diagnostic cystoscopy (Z606).
Use E751 when the instillation of a chemotherapeutic agent is performed as part of a therapeutic cystoscopic procedure, provided the primary code is not Z603 or Z611.

Common Pitfalls

Billing E751 alongside Z603 or Z611 will result in an automatic rejection as these codes are explicitly restricted per the Schedule of Benefits.
Attempting to bill E751 as a standalone service will trigger a rejection; it must be submitted on the same claim as the primary cystoscopy procedure.
Failure to document the specific chemotherapeutic agent used can lead to audit concerns regarding the clinical necessity of the add-on code.

Billing Tips

Ensure the primary cystoscopy code (e.g., Z606) is listed first on the claim to establish the procedural context for the E751 add-on.
If the procedure qualifies for after-hours premiums (E409 or E410), apply the percentage increase to the total fee, including the E751 component, provided the criteria for the premium are met.

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Provider Fee$58.65

Effective: April 1, 2026

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