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E790
E790 – Removal of ureteric catheter
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service, listed under Diagnostic and Therapeutic Procedures for the bladder, is for the removal of a ureteric catheter using an endoscope. It is intended to be claimed in conjunction with a primary cystoscopy procedure (e.g., Z606 Diagnostic cystoscopy with or without urethroscopy, or Z607 Repeat cystoscopy).
When to Use
- Use E790 when performing an endoscopic removal of a ureteric catheter during a primary cystoscopy procedure such as Z606.
- Use E790 when a repeat cystoscopy (Z607) is performed specifically to facilitate the removal of an indwelling ureteric catheter.
Common Pitfalls
- Claiming E790 as a standalone service will result in automatic rejection, as it is strictly an add-on procedure.
- Failing to link E790 to a primary cystoscopy code (Z606 or Z607) on the same claim will lead to payment denial.
Billing Tips
- Ensure the primary cystoscopy code is billed as the base service to allow the E790 add-on to process correctly.
- Apply age-based surgical premiums or after-hours premiums (E409/E410) to the total procedural fee when the clinical criteria for those specific premiums are met.
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