Billing code
E820A — Ureteroscopy add-on – biopsy of ureter or renal pelvis
Ureteroscopic biopsy
Add to Z628 for biopsy of one or more sites in the ureter or renal pelvis using a ureteroscope.
Watch for: Must be billed with Z628; one fee covers all biopsy sites.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $53.35 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E820A
- Description
- Ureteroscopy add-on – biopsy of ureter or renal pelvis
- 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 cystoscopy and diagnostic ureteroscopy (Z628) for biopsy of one or more sites in the ureter or renal pelvis.
What it covers
E820 is biopsy of one or more sites in the ureter and/or renal pelvis using a ureteroscope (T4).
Resection or fulguration of ureteral or renal pelvic tumours is E823 (T4).
Billing rules
- Listed as an add-on under Z628 cystoscopy and diagnostic ureteroscopy above the intramural ureter (T4).
- One fee covers one or more biopsy sites (T4).
- Add E822 when the scope reaches the upper third of the ureter or the renal pelvis (T4).
Often billed with
- Z628 (T4).
- E822 (T4).
Common rejections
- ADF: OHIP describes this as 'Corresponding procedure invalid, omitted or paid at zero': E820 was billed without a payable Z628 for the same patient and day (T4).
Related codes: Z628, E819, E822, E760, E761, E823, E776
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T4.
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