Billing code
E822A — Ureteroscopy add-on – upper third of ureter or renal pelvis
Ureteroscopy to upper ureter
Add to Z628 when the ureteroscopy reaches the upper third of the ureter or the renal pelvis.
Watch for: Payable only with a payable Z628 for the same patient and day.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $39.60 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E822A
- Description
- Ureteroscopy add-on – upper third 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 Z628 when ureteroscopy reaches the upper third of the ureter or the renal pelvis.
What it covers
E822 is added to Z628, cystoscopy and diagnostic ureteroscopy above the intramural ureter, when the scope goes to the upper third of the ureter or into the renal pelvis (T4).
Billing rules
- Payable only with Z628 (T4).
- Diagnostic ureteroscopy of the second ureter is E819, also an add-on to Z628 (T4).
- Stone removal (E760), lithotripsy (E761), biopsy (E820) and tumour resection (E823) are separate add-ons (T4).
Often billed with
- Z628 (T4).
- E760 or E761 for stone treatment (T4).
- E820 biopsy (T4).
Common rejections
- ADF: OHIP describes this as 'Corresponding procedure invalid, omitted or paid at zero': E822 was billed without a payable Z628 for the same patient and day (T4).
Related codes: Z628, E819, E760, E761, E820, E823
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T4.
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