E818 – Cystoscopy with insertion of ureteric stent, unilateral
OHIP Surgical Assists Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service is an add-on to a primary cystoscopy procedure, such as `Z606 (Diagnostic cystoscopy) or Z607` (Repeat cystoscopy). It covers the insertion of a ureteric stent on a single side (unilateral). It is not payable in conjunction with E773 (with placement of ureteric stent past obstructing lesion) when performed for the same ureteric obstruction.
When to Use
- Use E818 when performing a routine unilateral ureteric stent placement during a cystoscopy procedure where E773 is not applicable.
- Apply this code when the primary procedure is Z606 or Z607 and the stent insertion is a secondary, distinct procedural component.
Common Pitfalls
- Billing E818 alongside E773 for the same ureteric obstruction will trigger an automatic rejection as they are mutually exclusive.
- Attempting to bill E818 for bilateral stent placement is incorrect; this code is strictly for unilateral insertion and does not support quantity modifiers for both sides.
Billing Tips
- Ensure the primary procedure code (e.g., Z606) is billed as the main service to allow E818 to be processed as the secondary add-on procedure.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Procedure
Urogenital and Urinary Surgical Procedures, Diagnostic and Therapeutic Procedures
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