< Billing codes

Billing code

E668A

ERCP minor papilla cannulation

Add to an ERCP for cannulation of the minor papilla.

Watch for: Must be billed with ERCP code Z561, Z558 or Z760 on the same claim.

Code

E668A

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 to ERCP for cannulation of the minor papilla.

What it covers

E668 is cannulation of the minor papilla at the time of ERCP (S30).

Billing rules

• Payable with ERCP codes Z561, Z558 or Z760 (S30).
• 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

• Z561 or Z558 (S30).

Common rejections

• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (Z561, Z558 or Z760) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.

Related codes: Z561, Z558, Z760, E666, E680

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Biliary Tract, page S30.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing