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Billing code

E687A — Colonoscopic excision of obstructive tumour or stricture – laser debulking

Colonoscopic laser debulking

Add when laser debulking is used to excise an obstructive tumour or stricture through the colonoscope.

Watch for: Must be billed with Z764 or Z765 on the same claim.

Code

E687A

Description

Colonoscopic excision of obstructive tumour or stricture – laser debulking

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 for laser debulking during colonoscopic excision of an obstructive tumour or stricture.

What it covers

E687 is added when laser debulking is used for excision of an obstructive tumour or stricture through colonoscopy (Z764 or Z765) (S19).

Billing rules

• Add-on to Z764 or Z765 (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).

Often billed with

• Z764 or Z765 (S19).

Common rejections

• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (Z764 or Z765) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.

Related codes: Z764, Z765, E692, E688

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S19.

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