What are the billing rules for Z606A?

Independent operative procedure (Z code): if you did the major pre-operative visit in the prior 12 months, only a partial assessment is payable before it that day; if the major pre-operative visit is the same day, no other assessment before it (SP4). No extra claim for an examination under anaesthesia at the time of cystoscopy (T6). No claim for pre-cystoscopy dilatation of the male urethra unless stricture is the primary diagnosis; never for female urethral dilatation at cystoscopy (T6).

What is Z606A often billed with?

E776, E781, E789, E817 and other cystoscopy add-ons on T7 (T6, T7). G869 bladder Botox injection, with which Z606 is payable (J51).

Why is Z606A rejected?

ADH: OHIP describes this as 'Cannot be billed together': Z606 isn't payable with Z638, or as a separate cystoscopy with tumour excision Z632–Z634 (T3, T8).

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Billing code

Z606A — Diagnostic cystoscopy

Q: What is OHIP billing code Z606A?

Diagnostic cystoscopy, with or without urethroscopy. A repeat within 30 days is Z607.

Diagnostic cystoscopy

Bill for diagnostic cystoscopy, with or without urethroscopy; many cystoscopic procedures are billed as E add-ons to it.

Watch for: A repeat within 30 days is Z607, and no separate cystoscopy is billed with bladder tumour excision Z632 to Z634.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$77.00	$0.00	$0.00	$79.80	$79.80

Code: Z606A
Description: Diagnostic cystoscopy
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

Diagnostic cystoscopy, with or without urethroscopy. A repeat within 30 days is Z607.

What it covers

Z606 is a diagnostic cystoscopy, with or without urethroscopy (T7). A repeat cystoscopy within 30 days is Z607 (T7).

Many cystoscopic procedures are billed as 'E' add-ons to Z606, such as ureteric catheterization (E775, E817), biopsy (E776), stent insertion (E818), electrocoagulation of tumours (E781) and removal of a foreign body or stone (E789) (T7).

Billing rules

Independent operative procedure (Z code): if you did the major pre-operative visit in the prior 12 months, only a partial assessment is payable before it that day; if the major pre-operative visit is the same day, no other assessment before it (SP4).
No extra claim for an examination under anaesthesia at the time of cystoscopy (T6).
No claim for pre-cystoscopy dilatation of the male urethra unless stricture is the primary diagnosis; never for female urethral dilatation at cystoscopy (T6).
Not payable with Z638 (endoscopic reflux treatment) (T3).
No separate cystoscopy claim when done at the same time as bladder tumour excision (Z632–Z634) (T8).
Anaesthesia for Z606 is claimed as E023C (6 basic units plus time), which replaces the listed units; E003C is not payable for Z606 anaesthesia (GP100, T7).
A pre-operative consultation before cystoscopy under local anaesthesia and/or IV sedation is payable only if the chart shows it was medically necessary (GP18).
Age premium of 10–30% for patients under 16 (GP64).

Often billed with

E776, E781, E789, E817 and other cystoscopy add-ons on T7 (T6, T7).
G869 bladder Botox injection, with which Z606 is payable (J51).

Common rejections

ADH: OHIP describes this as 'Cannot be billed together': Z606 isn't payable with Z638, or as a separate cystoscopy with tumour excision Z632–Z634 (T3, T8).

Related codes: Z607, Z628, E776, E781, E789, E817, Z632, G869

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Bladder, page T7; bladder and urethra preamble T6.

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