What is OHIP billing code E802?

E802 is "Biopsy or fine needle aspiration", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E802 pay?

The current OHIP fee for E802 is $50.75, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill E802 to OHIP?

E802 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E802 claims against the Schedule of Benefits rules before submission.

What codes are related to E802?

Codes related to E802 in the Schedule of Benefits include S236, S237, E800, E801, E803, E804, E805.

All codes

E802

E802 – Biopsy or fine needle aspiration

OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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E802 is an add-on service for each biopsy or fine needle aspiration performed on a lesion during a linear or radial echo-endoscope procedure (e.g., S236, S237). This service is payable up to a maximum of 3 times per lesion.

When to Use

Use E802 when performing a fine needle aspiration (FNA) or core biopsy on a specific target lesion during an endoscopic ultrasound procedure (S236 or S237).
Apply this code for each distinct pass or sample taken from a single lesion, up to the maximum of three times per lesion.

Common Pitfalls

Billing more than three units of E802 per lesion will result in automatic rejection; ensure you track the number of passes per specific anatomical site.
Attempting to bill E802 as a standalone procedure without an associated primary endoscopic ultrasound code (e.g., S236 or S237) will lead to claim rejection.
Confusing E802 with other biopsy codes; ensure the procedure was specifically performed via echo-endoscope as defined in the digestive system surgical section.

Billing Tips

If you sample multiple distinct lesions, you may bill up to three units of E802 for each separate lesion, provided each is clearly documented in the procedure report.
Always ensure the primary procedure code (S236 or S237) is submitted on the same claim as E802 to satisfy the add-on requirement.

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Provider Fee$50.75

Effective: April 1, 2025

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