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Billing code

E519A — Colonoscopic polypectomy – each additional polyp (10–19 mm)

Extra polyp removal, 10–19 mm

Add for each additional polyp of 10 to 19 mm removed through the colonoscope, after the first-polyp code.

Watch for: At most 2 of E720, E520, E519 and E518 combined per patient per day.

Code

E519A

Description

Colonoscopic polypectomy – each additional polyp (10–19 mm)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Add-on for each additional polyp measuring 10 to 19 mm excised through the colonoscope, after the first-polyp code.

What it covers

E519 is an add-on for each additional polyp of 10 mm to 19 mm, listed under Z517 (excision of first polyp 10–19 mm) (S19).

The first polyp is billed with the code for the largest polyp removed (Z571, Z518, Z517 or Z516) (S19).

Billing rules

• A maximum of 2 of E720, E520, E519 and E518, in any combination, per patient per day (S19).
• Only one of Z571, Z518, Z517 or Z516 is payable per patient per day; use the largest polyp removed to choose the first-polyp code (S19).
• Excision of polyps under 3 mm is not payable (S19).
• Marked #: premises, equipment, supplies and staff are funded by the hospital budget or ICHSC facility costs, and patients can't be charged for them (GP13).
• Under-16 age premiums (10–30%) apply to surgical procedures in Parts K to Z (GP64).

Often billed with

• Z517 or Z516 for the first (largest) polyp (S19).

Common rejections

• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (first-polyp code such as Z517 or Z516) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.
• A3H: Usually means more additional-polyp add-ons than allowed: at most 2 of E720, E520, E519 and E518 combined per day (S19).

Related codes: Z517, Z516, E518, E520, E720

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S19.

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