What are the billing rules for E792A?

Payable only with one of the base procedures it is listed under (T2–T9, U3, U8). Laparoscopic retropubic urethropexy (S549, S546) uses a different add-on, E862 (T10). Base procedures follow the usual multiple-procedure rule: major procedure 100%, others 85% (SP2 §3).

What is E792A often billed with?

S416 nephrectomy (T2). S411 partial nephrectomy (T2). S651 radical prostatectomy (U8).

Why is E792A rejected?

ADF: OHIP describes this as 'Corresponding procedure invalid, omitted or paid at zero': E792 was billed without one of its listed base procedures on the same claim (T2–T9, U3, U8).

< Billing codes

Billing code

E792A — Laparoscopic approach premium – urology

Q: What is OHIP billing code E792A?

Adds 25% to listed kidney, ureter, bladder, testis and prostate operations when they are performed laparoscopically.

Laparoscopic urology premium

Adds 25% to a listed kidney, ureter, bladder, testis or prostate operation done laparoscopically.

Watch for: Only with a listed base procedure; laparoscopic urethropexy uses E862 instead.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.01	$0.00	$0.00	$0.00	$0.00

Code: E792A
Description: Laparoscopic approach premium – urology
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Sep 1, 2011
Termination date: No end date

Explanation

Updated October 26, 2026

Adds 25% to listed kidney, ureter, bladder, testis and prostate operations when they are performed laparoscopically.

What it covers

E792 increases the fee by 25% when a listed urological operation is performed laparoscopically (T2–T9, U3, U8).

It is listed with S411, S416, S420, S422, S436 (kidney), S457, S451, S561, S562, S460, S427 (ureter), S481, S482, S483, S490, S484, S485, S453, S440, S471, S521, S522, S524, S525 (bladder), S590, S591, S593 (testis) and S650, S651, S652 (prostate) (T2–T9, U3, U8).

Billing rules

Payable only with one of the base procedures it is listed under (T2–T9, U3, U8).
Laparoscopic retropubic urethropexy (S549, S546) uses a different add-on, E862 (T10).
Base procedures follow the usual multiple-procedure rule: major procedure 100%, others 85% (SP2 §3).
E676A (+25%) for BMI over 40 applies to open or laparoscopic surgery of the peritoneal cavity, pelvis or retroperitoneum when the base code is on its list (SP6).

Often billed with

S416 nephrectomy (T2).
S411 partial nephrectomy (T2).
S651 radical prostatectomy (U8).
S436 donor nephrectomy (T3).

Common rejections

ADF: OHIP describes this as 'Corresponding procedure invalid, omitted or paid at zero': E792 was billed without one of its listed base procedures on the same claim (T2–T9, U3, U8).

Related codes: S416, S411, S420, S436, S651, S590, E862, E793

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T2.

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