Billing code
S237A — Linear Or Radial Echo-endoscope - Including Biliary And/or Pancreatic Examination (scope Also Used For Therapeutic Procedures)
Endoscopic ultrasound, biliary/pancreatic
Bill S237 for endoscopic ultrasound with a linear or radial echo-endoscope that includes biliary or pancreatic examination.
Watch for: Don't add S236, which pays zero with S237; a GI endoscopy at the same session pays zero unless visualization was limited.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $253.80 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- S237A
- Description
- Linear Or Radial Echo-endoscope - Including Biliary And/or Pancreatic Examination (scope Also Used For Therapeutic Procedures)
- 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
Endoscopic ultrasound with a linear or radial echo-endoscope, including biliary and/or pancreatic examination.
What it covers
S237 is endoscopic ultrasound using a linear or radial echo-endoscope, including biliary and/or pancreatic examination; the scope may also be used for therapeutic procedures (S6).
Without biliary or pancreatic examination it is S236. An ultrasound probe passed through a standard endoscope is billed as add-ons E800 or E801 to the endoscopy fee instead (S6).
Billing rules
- S236 with S237 pays zero (S6).
- No assistant fee is payable; anaesthesia is 6 basic units (S6).
- An upper or lower GI endoscopy at the same session pays zero, unless it is needed because the echo-endoscope gives limited visualization (S6).
- Patients under 16 get an age premium of 10% to 30% (GP64).
Often billed with
- E802 biopsy or fine needle aspiration, maximum 3 per lesion (S6).
- E803 dilation of stricture; E804 injection of metastases, nodes, masses or celiac plexus; E805 pseudocyst drainage including stent (S6).
Related codes: S236, E801, E800, E802, E804, E805
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Endoscopic Ultrasound, page S6.
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