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E785 – Multiple biopsies for surveillance of inflammatory bowel disease-associated colorectal cancer or dysplasia

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

E785 is an add-on to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 for multiple biopsies for surveillance of inflammatory bowel disease-associated colorectal cancer or dysplasia (). Payment rules: E785 is only eligible for payment when: 1. billed with OHIP diagnostic code 555 (Crohn's disease), 556 (ulcerative colitis) or 576 (primary sclerosing cholangitis); and 2. multiple random screening biopsies (>34 sites) for malignant changes in inflammatory bowel disease, or targeted biopsies, have been collected using dye-chromoendoscopy (DCE), virtual chromoendoscopy (VCE) with narrow band imaging (NBI), or high-definition white-light endoscopy (HD-WLE) with HD-iScan, or equivalent (-). E717 rendered in conjunction with E785 is not eligible for payment. E785 is not eligible for payment in the context of standard definition white light endoscopy (SD-WLE) ().
The medical record must document that more than 34 biopsy sites were sampled.

OHIP diagnostic codes: 555, 556, 576

1. E717 rendered in conjunction with E785 is not eligible for payment.

2. For sigmoidoscopy with rigid scope, see Z535 (Rectum).

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