< Billing codes

Billing code

E801A — Endoscopic ultrasound probe through endoscope – with biliary/pancreatic exam

Endoscopic ultrasound, biliary or pancreatic

Add to an endoscopy fee for a probe ultrasound exam that includes the biliary or pancreatic system.

Watch for: Don't also bill E800, which pays zero with E801.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$152.30$0.00$0.00$0.00$0.00
Code
E801A
Description
Endoscopic ultrasound probe through endoscope – with biliary/pancreatic exam
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 an endoscopy fee for a radial or linear ultrasound probe exam that includes the biliary and/or pancreatic system.

What it covers

E801 is a radial or linear ultrasound probe passed through the endoscope, including biliary and/or pancreatic examination, added to the endoscopy fee (S6).

Billing rules

  • Add-on to the endoscopy fee (S6).
  • Don't also bill E800: it pays zero with E801 (S6).
  • Marked #: premises, equipment, supplies and staff are funded by the hospital budget or ICHSC facility costs, and patients can't be charged for them (GP13).
  • Under-16 age premiums (10–30%) apply to surgical procedures in Parts K to Z (GP64).

Often billed with

  • An upper GI endoscopy code such as Z399 (S6).

Common rejections

  • ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (endoscopy fee) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.

Related codes: E800, S237, S236, Z399, Z561

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Endoscopic Ultrasound, page S6.

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