Billing code
E685A — Colonoscopic excision of very large sessile polyp (> 3 cm)
Very large colon polyp removal
Bill for total excision of a sessile polyp larger than 3 cm through the colonoscope, per polyp.
Watch for: Only for total excision of a sessile polyp over 3 cm.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $227.65 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E685A
- Description
- Colonoscopic excision of very large sessile polyp (> 3 cm)
- 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
Total excision of a very large sessile polyp over 3 cm through the colonoscope, which may include fulguration. Billed per polyp.
What it covers
E685 is total excision of a very large sessile polyp (over 3 cm) through the colonoscope, and may include fulguration; it is billed for each such polyp (S19).
The upper GI equivalent, endoscopic mucosal resection of a polyp or lesion over 3 cm, is E836 (S7).
Billing rules
- For total excision only, of a sessile polyp larger than 3 cm (S19).
- Billed per polyp ('each') (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).
Related codes: Z516, Z517, E518, E836, Z764, Z765
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S19.
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