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Billing code

E781A — Cystoscopy with electrocoagulation of bladder tumour(s) (add-on)

Bladder tumour electrocoagulation

Add to a cystoscopy when bladder tumours are destroyed by electrocoagulation.

Watch for: Must be on the same claim as a payable cystoscopy; tumour excision including base and muscle is Z632, Z633 or Z634.

Code

E781A

Description

Cystoscopy with electrocoagulation of bladder tumour(s) (add-on)

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 for electrocoagulation (fulguration) of bladder tumour(s).

What it covers

E781 is added to a cystoscopy when bladder tumour(s) are destroyed by electrocoagulation (T7).

Excision of tumour(s) including the base and adjacent muscle, with electrocoagulation if needed, is billed instead as Z632, Z633 or Z634 (T7).

Billing rules

• Add-on to cystoscopy (Z606 or Z607) (T7).
• Bladder 'E' add-ons are payable with any S or Z code under the Bladder heading, or with Z626 or Z628, unless noted otherwise (T6).
• Age premium of 10–30% for patients under 16 (GP64).

Common rejections

• AD8: OHIP describes this as 'Not allowed alone': this add-on must be billed on the same claim as its base procedure, such as Z606 (T6, T7).
• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (Z606) was missing, invalid or paid at zero, so the add-on can't be paid.

Related codes: Z606, Z607, Z632, Z633, Z634, E782

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Bladder, page T7; bladder and urethra preamble T6.

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