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E781
E781 – Cystoscopy with electrocoagulation of tumour(s)
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service, listed under Urogenital and Urinary Surgical Procedures, involves the electrocoagulation of one or more bladder tumours. It is intended to be claimed in conjunction with a primary endoscopic procedure, such as a diagnostic cystoscopy (Z606).
When to Use
- Use E781 when performing electrocoagulation of small, superficial bladder tumours discovered during a diagnostic cystoscopy (Z606).
- Use this code for the fulguration of recurrent small lesions in the office or surgical setting when the primary procedure is a cystoscopy (Z606 or Z607).
Common Pitfalls
- Billing E781 as a standalone procedure; it must be submitted alongside a primary cystoscopy code (e.g., Z606) to avoid automatic rejection.
- Attempting to bill E781 for the resection of large bladder tumours, which should be billed under the appropriate transurethral resection of bladder tumour (TURBT) codes instead.
- Failing to document the specific number and location of tumours treated, which is required to justify the procedural fee during an audit.
Billing Tips
- Always ensure the primary cystoscopy code (Z606/Z607) is listed first on the claim to establish the surgical encounter before adding E781.
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