All codes
E759
E759 – Disintegration of renal calculi
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E759 when performing active lithotripsy (e.g., laser, ultrasonic, or pneumatic) during a percutaneous nephrolithotomy (PCNL) billed under Z627.
- Use this code when the primary objective of the percutaneous access is the fragmentation of a specific renal calculus that cannot be extracted intact.
Common Pitfalls
- Billing E759 as a standalone procedure; it is strictly an add-on code and will be rejected if not submitted on the same claim as Z627.
- Attempting to bill E759 for simple stone extraction or basket retrieval, which is already included in the base fee for Z627.
- Confusing E759 with E772, which is specific to ureteroscopic lithotripsy; E759 is exclusively for percutaneous procedures.
Billing Tips
- Ensure the operative report explicitly details the method of disintegration used to justify the add-on fee in the event of an audit.
- Apply relevant age premiums or after-hours premiums (E409/E410) to the total procedural value if the criteria for those premiums are met.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.