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E791
E791 – Periurethral injection of bulking agents
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service is for the periurethral injection of bulking agents, performed in conjunction with a diagnostic cystoscopy, such as `Z606` (Diagnostic with or without urethroscopy). As a surgical service, it includes all common elements of insured services outlined in the Schedule of Benefits (see , ).
When to Use
- Use E791 when performing a periurethral injection of a bulking agent specifically for the treatment of stress urinary incontinence.
- Always pair E791 with Z606 to account for the necessary diagnostic cystoscopy required to guide the injection.
Common Pitfalls
- Billing E791 with any procedural code other than Z606 will result in an automatic rejection.
- Failing to document the specific bulking agent used and the cystoscopic guidance can lead to clawbacks during an audit.
Billing Tips
- Ensure the claim includes both E791 and Z606 on the same submission to satisfy the procedural pairing requirement.
Provider Fee$50.70
Effective: April 1, 2026
Since Apr 2004, this fee has increased 95.0% vs 58.5% CPI inflation
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Urogenital and Urinary Surgical Procedures
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