What are the billing rules for E732A?

Payable only with Z540, when a biopsy is taken (S22). Z540 is an IOP: if you did the major pre-operative visit in the previous 12 months, only a minor assessment (GP/FP) or a partial assessment (specialist) is payable before the procedure that day (SP4). If the decision to operate is made at that day's visit, that visit is the major pre-operative visit; no other consultation or assessment before the procedure that day is payable (GP4, SP4).

What is E732A often billed with?

Z540 intubation of the small intestine (S22). An assessment at the visit where the decision to treat is made, billable as the major pre-operative visit (GP4, SP4).

< Billing codes

Billing code

E732A — Small intestine intubation with biopsy (add-on)

Q: What is OHIP billing code E732A?

Add-on to Z540, therapeutic or diagnostic intubation of the small intestine, when a biopsy is taken.

Small bowel intubation biopsy

Add to Z540, therapeutic or diagnostic intubation of the small intestine, when a biopsy is taken.

Watch for: Payable only with Z540 when a biopsy is taken.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$29.10	$0.00	$0.00	$0.00	$0.00

Code: E732A
Description: Small intestine intubation with biopsy (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

Add-on to Z540, therapeutic or diagnostic intubation of the small intestine, when a biopsy is taken.

What it covers

E732 is listed under 'Intubation of small intestine (therapeutic or diagnostic)' as the 'with biopsy' add-on to Z540, which is done with or without fluoroscopy (S22).

Z540 is a Z code, an independent operative procedure (IOP) payable in addition to an assessment (GP4, SP4). 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).

Billing rules

Payable only with Z540, when a biopsy is taken (S22).
Z540 is an IOP: if you did the major pre-operative visit in the previous 12 months, only a minor assessment (GP/FP) or a partial assessment (specialist) is payable before the procedure that day (SP4).
If the decision to operate is made at that day's visit, that visit is the major pre-operative visit; no other consultation or assessment before the procedure that day is payable (GP4, SP4).

Often billed with

Z540 intubation of the small intestine (S22).
An assessment at the visit where the decision to treat is made, billable as the major pre-operative visit (GP4, SP4).

Related codes: Z540, Z584, Z560, Z538, Z539

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), Manipulation — Intubation of small intestine, page S22; Surgical Preamble SP4

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