E816

With electrohydraulic lithotripsy for choledocholithiasis

Fee

ComponentValue
Provider fee$50.00
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 712 / S30

- with electrohydraulic lithotripsy for choledocholithiasis ................................................................................... add 50.00
Passages mentioning E816

PDF page 712 / S30

Endoscopic retrograde cholangiopancreatography (ERCP)
  # Z561 - with cannulation of common bile duct and/or pancreatic duct                                 213.15 6
  # Z558 - including sphincterotomy and may include removal of one or
             more bile duct stones .........................................................           300.25 6
  # Z760 - through gastrojejunostomy following previous Billroth II ....                               251.85 6
  # E702     - with multiple (3 or more) biopsies of a specific lesion add                              15.10
  # E666     - with biliary tract manometry ....................................... add                 52.30
  # E662     - with intraductal cytology brushing or intraductal biopsy
               ................................................................................... add  49.75
  # E668     - with cannulation of minor papilla................................ add                    93.80
  # E680     - with insertion of first endobiliary prosthesis and/or
               pancreatic stent (maximum 1).................................... add                     82.35
  # E681     - with insertion of each additional endobiliary prosthesis
               and/or pancreatic stent (maximum 3) ........................ add                         43.60
  # E669     - with oesophagoscopy-gastroscopy and may include
               duodenoscopy............................................................ add            102.75
  # E816     - with electrohydraulic lithotripsy for choledocholithiasis
               ................................................................................... add  50.00
        Note:
        1.E662, E666, E668, E702, E680, E681, E669, and E816 are payable with Z561, Z558 or
          Z760.
        2.E816 is only eligible for payment for confirmed choledocholithiasis that is refractory to
          standard extraction methods
  # Z593 Nasobiliary catheter insertion .................................................                                  55.25
      INCISION
  # S233 Percutaneous trans-hepatic catheter drainage of obstructed
            bile ducts including daily supervision and including
            percutaneous cholangiogram and catheterization to
            duodenum if achieved ........................................................                                 394.25
  # S234 Replacement of catheter in above ..........................................                                       64.85
      Biliary duct calculus manipulation and/or removal via T-tube tract
  # Z562 - as sole procedure...............................................................                               116.20          7
  # Z542 Intubation of bile duct for obstruction......................................                                     85.25
Fee master record

Master, record 1511. Record Layout PDF, page 1.

E81620260401999999990000050000000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00000500000 / 50
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

An add-on for electrohydraulic lithotripsy for choledocholithiasis, listed under endoscopic retrograde cholangiopancreatography in biliary tract procedures.

Watch out for

Note 1 lists Z561, Z558 or Z760 as payable with this code. Note 2 says it is only eligible for payment for confirmed choledocholithiasis that is refractory to standard extraction methods.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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