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Billing code

E816A

Bile duct stone lithotripsy

Add to an ERCP for electrohydraulic lithotripsy of common bile duct stones that can't be removed by standard methods.

Watch for: Only for confirmed stones refractory to standard extraction, billed with Z561, Z558 or Z760.

Code

E816A

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 ERCP for electrohydraulic lithotripsy of common bile duct stones that can't be removed by standard methods.

What it covers

E816 is electrohydraulic lithotripsy for choledocholithiasis at the time of endoscopic retrograde cholangiopancreatography (ERCP) (S30).

Billing rules

• Payable with ERCP codes Z561, Z558 or Z760 (S30).
• Only for confirmed choledocholithiasis that is refractory to standard extraction methods (S30).
• 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

• Z561 or Z558 (S30).

Common rejections

• ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': the base procedure (Z561, Z558 or Z760) is missing from the claim, invalid, or paid at zero. Add-ons are payable only with their base code.

Related codes: Z558, Z561, Z760, E680, E681, E669

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Biliary Tract, page S30.

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