What is OHIP billing code E839?

E839 is "Flexible endoscopy add-on", an OHIP Surgical Assists code from the Ontario Schedule of Benefits (Physician Services).

How much does E839 pay?

The current OHIP fee for E839 is $35.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill E839 to OHIP?

E839 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates E839 claims against the Schedule of Benefits rules before submission.

What codes are related to E839?

Codes related to E839 in the Schedule of Benefits include Z304, Z309, Z311, Z314, Z315, Z316, S063, S065.

All codes

E839

E839 – Flexible endoscopy add-on

OHIP Surgical Assists Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

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Payable in addition to the primary procedure fee for the use of a flexible endoscope with the following services: excision of single nasal polyp (`Z304), single nasal biopsy (Z309), removal of foreign body under local anaesthetic (Z311), nasal cauterization for epistaxis (Z314), anterior nasal packing (Z315), posterior nasal packing (Z316), tonsillectomy (S063), and adenoidectomy (S065`).

When to Use

Use E839 when performing a nasal biopsy (Z309) or polyp excision (Z304) specifically utilizing a flexible endoscope rather than a rigid scope or headlight visualization.
Apply this code when managing epistaxis via cauterization (Z314) or packing (Z315/Z316) if the flexible endoscope is required to visualize the bleeding site.
Include E839 when performing tonsillectomy (S063) or adenoidectomy (S065) if the flexible endoscope is used to assess the surgical field or identify residual tissue.

Common Pitfalls

Billing E839 for procedures not explicitly listed in the preamble, such as diagnostic nasal endoscopy (Z300), which is a standalone service and not an add-on.
Submitting E839 when using a rigid endoscope; the code specifically mandates the use of a flexible endoscope for eligibility.
Failing to document the specific use of the flexible endoscope in the operative report, which is the primary source of audit recovery for this premium.

Billing Tips

Ensure E839 is submitted on the same claim as the primary procedure code (e.g., Z304 or S063) to avoid rejection for missing the base service.
Since E839 is an add-on fee, it is exempt from the multiple surgical procedure reduction rule, ensuring you receive the full $35.25 regardless of other procedures performed.

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Provider Fee$35.25

Effective: April 1, 2026

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