Billing code
E791A — Cystoscopy add-on – periurethral bulking agent injection
Periurethral bulking injection
Add to diagnostic cystoscopy Z606 for periurethral injection of bulking agents.
Watch for: Not payable with any procedure code other than Z606, and only once per patient every 16 weeks.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $50.70 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E791A
- Description
- Cystoscopy add-on – periurethral bulking agent injection
- 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 diagnostic cystoscopy (Z606) for periurethral injection of bulking agents. One treatment per 16 weeks.
What it covers
E791 is periurethral injection of bulking agents with cystoscopy (T7).
Billing rules
- E-prefixed cystoscopy add-ons are payable in addition to any S or Z code under the Bladder subheading, or with Z626 or Z628, unless noted otherwise (T6 preamble §4).
- Not payable with any procedural code other than Z606 (T7).
- Only one treatment per patient every 16 weeks (T7).
Often billed with
- Z606 diagnostic cystoscopy (T7).
Common rejections
- AM1: OHIP describes this as 'Service limit exceeded': E791 is payable only once per patient every 16 weeks (T7).
- ADH: OHIP describes this as 'Cannot be billed together': E791 was billed with a procedure code other than Z606 (T7).
Related codes: Z606, S815, S548, S539
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Bladder, page T7.
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