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E772

E772Percutaneous removal of staghorn calculus filling renal pelvis and extending into calyces

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

An additional fee for the percutaneous removal of a staghorn calculus that fills the renal pelvis and extends into the calyces. This service is claimed in addition to Z627 (Removal of renal calculi). The fee for this add-on is $175.50.

When to Use

  • Use E772 specifically when performing a percutaneous nephrolithotomy (PCNL) where the stone burden is a complex staghorn calculus occupying the renal pelvis and extending into multiple calyces.
  • Claim this code only in conjunction with the primary procedure code Z627 to signify the increased complexity of the staghorn removal.

Common Pitfalls

  • Submitting E772 without Z627 on the same claim will result in an automatic rejection as it is strictly an add-on code.
  • Billing E772 for standard renal calculi that do not meet the anatomical definition of a staghorn (filling the pelvis and extending into calyces) is considered an inappropriate use of the code and poses an audit risk.

Billing Tips

  • Ensure your operative report explicitly describes the staghorn nature of the calculus, noting its extension into the calyces, to support the use of this premium code during a potential audit.
Provider Fee$188.15

Effective: April 1, 2026

Category

T. Urogenital and Urinary Surgical Procedures

Subcategory

UROGENITAL AND URINARY SURGICAL PROCEDURES

Service Type

Premium

Code Classes

Urogenital and Urinary Surgical Procedures

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