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Billing code

E680A — - With Insertion Of First Endobiliary Prosthesis And/or Pancreatic Stent (maximum 1) - Add

First biliary or pancreatic stent

Add to an ERCP for inserting the first endobiliary prosthesis or pancreatic stent.

Watch for: Maximum 1 with ERCP Z561, Z558 or Z760; extra stents are E681.

Code

E680A

Description

- With Insertion Of First Endobiliary Prosthesis And/or Pancreatic Stent (maximum 1) - Add

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 inserting the first endobiliary prosthesis and/or pancreatic stent (maximum 1).

What it covers

E680 is added to an ERCP for insertion of the first endobiliary prosthesis and/or pancreatic stent (S30).

Each additional prosthesis or stent is E681, to a maximum of 3 (S30).

Billing rules

• Add-on only: payable with ERCP Z561, Z558 or Z760 (S30).
• Maximum 1 (S30).

Often billed with

• E681 for each additional prosthesis or stent (S30).

Common rejections

• ADF: The add-on's base procedure (Z561, Z558 or Z760) is missing, invalid or paid at zero; bill the add-on on the same claim as a payable base code.
• A3H: More than one E680 was billed; the first stent is limited to 1, and extra stents are E681 (S30).

Related codes: E681, Z561, Z558, Z760, Z593

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

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