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E789
E789 – Cystoscopy with removal of foreign body or calculus
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E789 when you perform a diagnostic cystoscopy (Z606 or Z607) and incidentally discover and remove a small bladder calculus or foreign body during the same session.
- Use E789 when a patient presents for a planned endoscopic removal of a known small bladder stone or foreign body, billing it alongside the required diagnostic cystoscopy code.
Common Pitfalls
- Billing E789 as a standalone code without an accompanying Z606 or Z607 will result in automatic rejection, as it is strictly an add-on procedure.
- Attempting to use E789 for complex lithotripsy or large stone extraction, which may require higher-value surgical codes, can lead to audit scrutiny for inappropriate code selection.
Billing Tips
- Ensure the primary diagnostic code (Z606 or Z607) is listed first on the claim to establish the base procedure before applying the E789 add-on.
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