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E787

E787Resection or incision bladder neck, male

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

Endoscopic procedure with resection or incision of the bladder neck in a male patient. This procedure is performed in conjunction with a primary diagnostic cystoscopy, such as `Z606 or Z607`. This code represents the surgical component of the procedure.

When to Use

  • Use E787 for the surgical resection or incision of the bladder neck in male patients performed during an endoscopic procedure.
  • Always bill E787 in combination with a primary cystoscopy code, such as Z606 (diagnostic) or Z607 (repeat), to ensure the claim is processed correctly.
  • Select E787 when the primary intent of the endoscopic intervention is specifically to address bladder neck obstruction or stenosis.

Common Pitfalls

  • Billing E787 as a standalone procedure without an accompanying cystoscopy code (Z606/Z607) will result in automatic rejection.
  • Attempting to bill E787 for female patients is a billing error, as this code is strictly restricted to male patients.
  • Failing to document the specific surgical technique (resection vs. incision) can lead to audit scrutiny regarding the appropriateness of the procedure code.

Billing Tips

  • Ensure the primary cystoscopy code is listed first on the claim to establish the surgical setting, followed by E787 as the secondary procedure.
  • Verify that any applicable age-based premiums or after-hours premiums (E409/E410) are applied to the total procedural fee to maximize reimbursement.
Provider Fee$279.20

Effective: April 1, 2026

Category

T. Urogenital and Urinary Surgical Procedures

Subcategory

UROGENITAL AND URINARY SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Urogenital and Urinary Surgical Procedures

Sex Restriction

Male

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