Billing code
E678A — Bronchoscopy add-on – TBNA of lung mass
Lung mass needle aspiration
Add to Z327 bronchoscopy for transbronchial needle aspiration of a lung mass.
Watch for: Must be billed with a paid Z327; lymph node aspiration is E677.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $104.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E678A
- Description
- Bronchoscopy add-on – TBNA of lung mass
- 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 bronchoscopy (Z327) for transbronchial needle aspiration (TBNA) of a lung mass.
What it covers
E678 is transbronchial needle aspiration (TBNA) of a lung mass, added to Z327 bronchoscopy (P10).
TBNA of mediastinal and/or hilar lymph nodes is E677 (P9).
Billing rules
- Add-on only: bill E678 with Z327 bronchoscopy (P9–P10).
- Bronchoscopy limits apply: only the bronchoscopy is paid with laryngoscopy or oesophagoscopy, and none after thoracic surgery under the same anaesthetic by the same surgeon (P9).
- Marked '#': premises, equipment, supplies and staff are not included in the fee (GP13).
Often billed with
- Z327 bronchoscopy, the base procedure (P9).
Common rejections
- ADF: OHIP's message is 'Corresponding Procedure Invalid, Omitted or Paid at zero': this add-on needs Z327 bronchoscopy on the same claim, paid (P9–P10).
Related codes: Z327, E677, E638, G050, Z340
Source: Schedule of Benefits (July 1, 2026), Respiratory Surgical Procedures, Trachea and Bronchi, page P10.
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