Billing code
E696A
Oesophageal dilatation
Add for dilatation of the oesophagus during oesophagoscopy-gastroscopy, with or without duodenoscopy.
Watch for: Must be billed with Z399 or Z400; pneumatic or balloon dilation is E698.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $30.65 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E696A
- 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 dilatation of the oesophagus done during oesophagoscopy-gastroscopy.
What it covers
E696 is dilatation of the oesophagus at the time of oesophagoscopy-gastroscopy, with or without duodenoscopy (S7).
Pneumatic or balloon dilation is the separate add-on E698 (S7).
Billing rules
- Add-on to oesophagoscopy-gastroscopy, with or without duodenoscopy (Z399 elective or Z400 for active bleeding) (S7).
- 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
- Z399 or Z400 (S7).
Common rejections
- ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (Z399 or Z400) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.
Related codes: E698, Z399, Z400, Z515, E803
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Oesophagus, page S7.
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