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E780
E780 – Cystoscopy with needle biopsy of prostate
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service, 'with needle biopsy of prostate', is an add-on procedure performed during a cystoscopy. It is claimed in addition to the primary cystoscopy code, such as Z606 (Diagnostic with or without urethroscopy) or Z607 (Repeat within 30 days). The fee for this service covers the work of performing the prostate needle biopsy itself.
When to Use
- Use E780 as an add-on when performing a needle biopsy of the prostate during a diagnostic cystoscopy (Z606).
- Use E780 when performing a prostate biopsy during a repeat cystoscopy (Z607) within the 30-day window.
Common Pitfalls
- Billing E780 as a standalone code will result in an automatic rejection; it must be linked to a primary cystoscopy code on the same claim.
- Attempting to bill E780 for a transrectal ultrasound-guided biopsy (TRUS) is incorrect, as E780 is specifically for biopsies performed via the cystoscopic approach.
Billing Tips
- Ensure the primary procedure (Z606 or Z607) is billed on the same claim to trigger the payment for the E780 add-on.
Provider Fee$32.60
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
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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