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E789

E789Cystoscopy with removal of foreign body or calculus

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

This is an add-on service to a primary diagnostic cystoscopy, such as `Z606 or Z607`. It involves the endoscopic removal of a foreign body or calculus from the bladder. As per the listing, this service is performed in conjunction with a primary cystoscopy procedure.

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.
Provider Fee$106.85

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

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