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E776

E776Unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder

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

This procedure is an add-on to a diagnostic cystoscopy (e.g., `Z606, Z607`) and involves a unilateral brush biopsy of the renal pelvis and/or ureter, and/or a transurethral biopsy of the bladder.

When to Use

  • Use E776 when performing a brush biopsy of the ureter or renal pelvis during a diagnostic cystoscopy (Z606 or Z607) to investigate upper tract urothelial carcinoma.
  • Use E776 for a transurethral bladder biopsy when the procedure is limited to biopsy only and does not involve the formal excision or resection of a bladder tumor.

Common Pitfalls

  • Billing E776 alongside Z632, Z633, or Z634 is a common rejection; these excision codes are comprehensive and already include the biopsy component.
  • Attempting to bill E776 as a standalone procedure will result in a rejection, as it is strictly an add-on code that requires a primary cystoscopy code (Z606/Z607) on the same claim.

Billing Tips

  • Ensure the primary procedure (Z606 or Z607) is billed on the same claim to avoid the automatic rejection of the E776 add-on fee.
  • If performing both a ureteral brush biopsy and a bladder biopsy during the same session, E776 is only payable once as it covers both anatomical sites.
Provider Fee$26.70

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, Diagnostic and Therapeutic Procedures

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