< Billing codes

Billing code

E761A — Ureteroscopy add-on – intracorporeal lithotripsy

Ureteroscopic stone fragmentation

Add to Z628 cystoscopy and diagnostic ureteroscopy for breaking up a stone inside the urinary tract, by any method.

Watch for: Must be billed with Z628; external shock wave lithotripsy is Z630.

Code

E761A

Description

Ureteroscopy add-on – intracorporeal lithotripsy

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Add-on to cystoscopy and diagnostic ureteroscopy (Z628) for breaking up a stone inside the urinary tract, by any method.

What it covers

E761 is intracorporeal lithotripsy by any method (for example laser) done during cystoscopy and diagnostic ureteroscopy, Z628 (T4).

Shock wave lithotripsy from outside the body is a separate procedure, Z630 (T2).

Billing rules

• Listed as an add-on under Z628 cystoscopy and diagnostic ureteroscopy above the intramural ureter (T4).
• Add E760 when the stone fragments are removed (T4).
• Add E822 when the ureteroscopy reaches the upper third of the ureter or the renal pelvis (T4).

Often billed with

• Z628 (T4).
• E760 removal of calculus (T4).
• E822 upper ureter or renal pelvis (T4).

Common rejections

• ADF: OHIP describes this as 'Corresponding procedure invalid, omitted or paid at zero': E761 was billed without a payable Z628 for the same patient and day (T4).

Related codes: Z628, E760, E822, Z630, E759, S470

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T4.

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