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E821

E821Transperineal method add-on to Z712

OHIP Surgical Assists Code · Schedule of Benefits

This is an add-on fee payable in addition to the base fee for a needle biopsy of the prostate (Z712) when the procedure is performed using the transperineal method.

When to Use

  • Use E821 specifically when performing a prostate needle biopsy via the transperineal route rather than the standard transrectal approach.
  • Apply this code when the transperineal approach is selected to reduce infection risk or to access anterior prostate lesions that are difficult to reach via transrectal ultrasound.

Common Pitfalls

  • Billing E821 without including the base code Z712 on the same claim will result in an automatic rejection.
  • Attempting to bill a surgical assistant fee for E821 is invalid as the code specifically carries no assistant fee entitlement.
  • Submitting E821 for a transrectal biopsy is a billing error; it is strictly reserved for the transperineal technique.

Billing Tips

  • Ensure E821 is submitted with the suffix 'A' appended to the code to correctly signify it as an add-on procedure to Z712.
Provider Fee$20.00

Effective: April 1, 2026

Service Type

Surgery

Code Classes

Procedure

Procedure must be performed by the transperineal method.

Z712 is an Independent Operative Procedure (IOP).

E821 does not have an associated surgical assistant fee.

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