All codes
E795
E795 – Endoscopic brushing of oesophagus, stomach, and/or duodenum
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use E795 when performing an endoscopic brushing for cytology during an oesophagoscopy-gastroscopy (Z399) or duodenoscopy (Z400) to investigate suspicious mucosal lesions.
- Use this code specifically for the collection of cells via brushing; it is distinct from biopsy codes like E797 (biopsy of oesophagus) or E798 (biopsy of stomach/duodenum).
Common Pitfalls
- Billing E795 in addition to a biopsy code (E797/E798) for the same lesion is often flagged; ensure the clinical note clearly justifies both separate procedures if performed.
- Attempting to bill E795 as a standalone procedure will result in rejection, as it is strictly an add-on fee that requires a primary endoscopic procedure code on the same claim.
Billing Tips
- Ensure the procedural report explicitly documents the use of a cytology brush, as this is the specific requirement for E795 eligibility.
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