Billing code
E720A — Each additional polyp excised, 3 mm to 5 mm (add-on)
Extra polyp removal, 3–5 mm
Add for each additional polyp of 3 to 5 mm removed through the colonoscope, after the first-polyp code.
Watch for: At most 2 of E720, E520, E519 and E518 combined per patient per day.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $77.50 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E720A
- Description
- Each additional polyp excised, 3 mm to 5 mm (add-on)
- 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
Colonoscopic polypectomy add-on for each additional polyp of 3 mm to 5 mm. Maximum 2 additional-polyp add-ons per patient per day.
What it covers
E720 is the add-on for each additional polyp of 3 mm to 5 mm excised through the colonoscope, listed under Z571, excision of the first polyp of 3 mm to 5 mm (S19).
The first polyp code is chosen by the largest polyp excised: Z571 (3–5 mm), Z518 (6–9 mm), Z517 (10–19 mm) or Z516 (20–29 mm). Additional polyps use the add-on for their size: E720 (3–5 mm), E520 (6–9 mm), E519 (10–19 mm) or E518 (20–29 mm) (S19).
Billing rules
- Maximum 2 services of any combination of E720, E520, E519 and E518 per patient per day (S19).
- Only one of Z571, Z518, Z517 or Z516 is payable per patient per day; bill the one that matches the largest polyp excised (S19).
- Excision of polyps under 3 mm isn't payable, so E720 starts at 3 mm (S19).
- Fulguration is included in the colonoscopy codes, so it isn't billed separately (S19).
- Marked '#': the fee doesn't include premises, equipment, supplies or staff, which are funded by the hospital budget or ICHSC facility costs; patients can't be charged for them (GP13).
Often billed with
- Z571, or a larger first-polyp code (Z518, Z517, Z516), for the largest polyp excised (S19).
- The colonoscopy code for the indication, such as Z496 signs or symptoms, with extent add-ons E740, E741, E747 and E705 (S17–S18).
Related codes: Z571, E520, E519, E518, Z518, Z517, Z516
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), Colonoscopy — polyp excision, page S19
APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing