Billing code
E681A — - With Insertion Of Each Additional Endobiliary Prosthesis And/or Pancreatic Stent (maximum 3) - Add
Additional biliary or pancreatic stents
Add to an ERCP for each additional endobiliary prosthesis or pancreatic stent after the first.
Watch for: Maximum 3 with ERCP Z561, Z558 or Z760; bill E680 for the first stent.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $43.60 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E681A
- Description
- - With Insertion Of Each Additional Endobiliary Prosthesis And/or Pancreatic Stent (maximum 3) - 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 each additional endobiliary prosthesis and/or pancreatic stent after the first (maximum 3).
What it covers
E681 is added to an ERCP for each additional endobiliary prosthesis and/or pancreatic stent after the first (E680) (S30).
Billing rules
- Add-on only: payable with ERCP Z561, Z558 or Z760 (S30).
- Maximum 3 (S30).
- Bill E680 for the first stent (S30).
Often billed with
- E680 first 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 3 additional stents were billed; E681 is limited to a maximum of 3 (S30).
Related codes: E680, Z561, Z558, Z760
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Biliary Tract, page S30.
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