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E775
E775 – Cystoscopy with catheterization of the ureter and collection of the ureteral specimen, unilateral
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E775 when you perform a diagnostic cystoscopy (e.g., Z606) and specifically catheterize one ureter to collect a urine specimen for cytology or culture.
- Use E775 for unilateral ureteral catheterization; if you perform bilateral catheterization, you must bill E775 and E776 (the bilateral counterpart) according to the Schedule of Benefits.
Common Pitfalls
- Do not bill E775 if the ureteral catheterization is part of a more comprehensive procedure like a retrograde pyelogram (E817), as the catheterization is considered integral to the imaging procedure.
- Avoid billing E775 as a standalone code; it is an add-on procedure and requires a primary diagnostic cystoscopy code (e.g., Z606 or Z607) to be present on the same claim to avoid rejection.
Billing Tips
- Ensure the claim includes the diagnostic cystoscopy code as the primary service, followed by E775, to ensure the secondary procedure is processed correctly by the Ministry.
- If performing this procedure on a patient under 16 years of age, remember to apply the appropriate age-based premium to the total surgical fee, as E775 is classified under the surgical sections of the Schedule.
Provider Fee$16.45
Effective: April 1, 2026
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Urogenital and Urinary Surgical Procedures
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