Billing code
E821A — Prostate needle biopsy – transperineal method (add-on)
Transperineal prostate biopsy add-on
Add to prostate needle biopsy Z712 when the biopsy is done by the transperineal method.
Watch for: Must be on the same claim as a payable Z712.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $20.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E821A
- Description
- Prostate needle biopsy – transperineal method (add-on)
- 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 prostate needle biopsy (Z712) when it is done by the transperineal method.
What it covers
E821 is added to Z712 when the prostate needle biopsy is done by the transperineal method (U8).
It is not billed alone.
Billing rules
- Only with Z712 (U8).
- Age premium of 10–30% for patients under 16 (GP64).
Common rejections
- AD8: OHIP describes this as 'Not allowed alone': E821 must be on the same claim as Z712 (U8).
- ADF: OHIP describes this as 'Corresponding Procedure Invalid, Omitted or Paid at zero': Z712 was missing, invalid or paid at zero.
Related codes: Z712, Z713, S650, S651
Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Prostate, page U8.
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