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Billing code

E804A — Endoscopic ultrasound – injection (metastases, nodes, masses, celiac plexus)

EUS-guided injection

Add for injection of metastases, nodes, masses or the celiac plexus through a linear or radial echo-endoscope.

Watch for: Must be billed with S236 or S237; S236 pays zero when billed with S237.

Code

E804A

Description

Endoscopic ultrasound – injection (metastases, nodes, masses, celiac plexus)

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 for EUS-guided injection of metastases, nodes, masses or the celiac plexus through a linear or radial echo-endoscope.

What it covers

E804 is injection of one or more of: metastases, nodes, masses or the celiac plexus, through a linear or radial echo-endoscope (S6).

Billing rules

• Add-on under the linear or radial echo-endoscope listings, S236 (excluding biliary/pancreatic exam) or S237 (including it) (S6).
• S236 pays zero when billed with S237 (S6).
• Upper or lower GI endoscopy with S236 or S237 pays zero unless needed because of limited visualization with the echo-endoscope (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

• S236 or S237 (S6).

Common rejections

• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (S236 or S237) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.

Related codes: S236, S237, E802, E805

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

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