Fee
| Component | Value |
|---|---|
| Provider fee | $61.30 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2026-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
- without biopsy..................................................................... 61.30 6
Passages mentioning Z292
ENDOSCOPY
Fiberoptic endoscopy of upper airway (nose) (IOP)
Z296 - with flexible endoscope - if only operative procedure
performed ........................................................................... 33.25
Z299 - with rigid endoscope, for diagnostic evaluation, or to
facilitate biopsy or surgical treatment of pathology in the
posterior nasal cavity, hypopharynx or larynx .................... 8.55
Note:
Z296 is not eligible for payment in addition to Z292 on the same patient on the same date of
service.
# Z317 Examination under anaesthesia (EUA) of nose including
suction cautery for posterior epistaxis - unilateral or bilateral 112.05 6
# Z306 Excision of middle turbinate concha bullosa - unilateral ......... 55.60 7RESPIRATORY SURGICAL PROCEDURES
LARYNX
7 Asst Surg Anae
ENDOSCOPY
Laryngoscopy
# E600 - using operating microscope - to charges for laryngoscopy
................................................................................... add 33.60
Direct
# Z292 - without biopsy..................................................................... 61.30 6
# Z293 - with biopsy.......................................................................... 61.30 6
# Z322 - with removal of foreign body .............................................. 106.45 6
# Z323 - with removal of lesion(s)..................................................... 226.35 6
# E643 - when using laser with microlaryngoscopy for benign
disease, to Z323 ........................................................ add 121.65
Note:
1.E600 is not eligible for payment in addition to E643.
2.Z292 rendered in association with gastroscopy, oesophagoscopy, oesophagoscopy-
gastroscopy, duodenoscopy, and small bowel push enteroscopy services is not eligible for
payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx.
Claims for Z292 in these circumstances are assessed by a medical consultant on a manual
review basis and require the submission of a written explanation.
3.Z296 is not eligible for payment in addition to Z292 on the same patient on the same date of
service
[Commentary:
Manual review is not required for Z293, Z322 and Z323 rendered in association with
gastroscopy, oesophagoscopy, oesophagoscopy-gastroscopy, duodenoscopy, and small bowel
push enteroscopy services.]
# Z343 - with dilatation of larynx, to include bronchoscopy if
necessary ........................................................................... 202.35 7
Indirect
# Z324 - with biopsy or removal of foreign body............................... 44.70 6DIGESTIVE SYSTEM SURGICAL PROCEDURES
OESOPHAGUS
Asst Surg Anae
Note:
1.Z292 rendered in association with oesophagoscopy and oesophagoscopy-gastroscopy
services is not eligible for payment unless the laryngoscopy service is rendered for suspicion
of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical
consultant on a manual review basis and require the submission of a written explanation.
2.E836 is only eligible for payment when resection requires submucosal injection and
piecemeal resection
3.E836 includes any hemostatic techniques performed at the time of polypectomy
4.E836 is limited to a maximum of 2 services per patient per day
[Commentary:
Manual review is not required for Z293, Z322 and Z323 rendered in association with
oesophagoscopy and oesophagoscopy-gastroscopy services.]
INCISION
Oesophagostomy
Cervical
# S084 - other than neonatal ............................................................. 212.35
# S085 - neonatal............................................................................... 304.20
Intrathoracic oesophageal stent
# S082 - via laparotomy ..................................................................... 410.55 7
# S083 - via oesophagoscope (includes Z515).................................. 304.20 6
# S081 Trans-oesophageal division of oesophageal varices............... 558.05
# S080 Oesophageal-gastric devascularization (including splenectomy
and oesophageal division/anastomosis) ............................. 898.15
EXCISION
# S087 Intrathoracic diverticulum......................................................... 507.00
# S086 Cricopharyngeal myotomy, open approach ............................. 300.00
# Z505 Cricopharyngeal myotomy, when rendered by endoscopy, or in
association with a surgical procedure during the same
anaesthetic .......................................................................... 6 37.20 6
# S088 Cricopharyngeal diverticulum .................................................. 390.05
# S089 Partial oesophageal resection and reconstruction (including
intestinal transposition)........................................................ 1180.50 17
# S090 Total thoracic oesophageal resection ...................................... 10 1912.30 13
# E730 - with reconstruction ......................................................add 740.95
# E847 - with reconstruction of diaphragm requiring repair with
mesh or equivalent synthetic material, to S089 or S090
....................................................................................add 75.00
# E644 - radical mediastinal node dissection following preoperative
chemotherapy and/or radiotherapy, to S089 or S090 .add 400.00
Note:
1.S086 is not eligible for payment with S088.
2.Z505 is not eligible for payment with S086.
# S093 Enucleation of benign oesophageal tumour ............................ 584.15Gastroscopy
# Z527 - may include biopsies, photography and removal of polyps
less than or equal to 1 cm .................................................. 82.90 4
# Z547 - with removal of foreign body .............................................. 99.75 4
# Z528 - subsequent (within three months following previous
gastroscopy) ...................................................................... 67.85 4
Note:
Z292 rendered in association with gastroscopy services is not eligible for payment unless the
laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in
these circumstances are assessed by a medical consultant on a manual review basis and
require the submission of a written explanation.
[Commentary:
Manual review is not required for Z293, Z322 and Z323 rendered in association with
gastroscopy services.]
# E674 - with snare polypectomy - 1st polyp > 1 cm (maximum 1)
................................................................................... add 142.40
# E675 - with snare polypectomy each - additional polyp > 1 cm
(maximum 2) .............................................................. add 73.50
Note:
E674, E675 are payable with Z527, Z547 or Z528.DIGESTIVE SYSTEM SURGICAL PROCEDURES
INTESTINES (EXCEPT RECTUM)
Asst Surg Anae
ENDOSCOPY
# Z560 Duodenoscopy (not to be claimed if Z399 and/or Z400
performed on same patient within 3 months) ..................... 92.10 4
# Z749 Subsequent procedure (within three months following previous
endoscopic procedure)....................................................... 72.55 4
# E629 - endoscopic placement of stent in duodenum............. add 137.05
# Z584 Small bowel push enteroscopy ............................................... 185.15
# E797 - management of uncomplicated upper or lower
gastrointestinal bleeding, by any technique (e.g. laser,
injection, diathermy, banding etc.) to Z584 ................ add 46.30
# E798 - management of complicated upper gastrointestinal
bleeding by any technique in haemodynamically unstable
patients with active bleeding during endoscopy, to Z584
................................................................................... add 69.70
# Z588 Double Balloon enteroscopy................................................... 50.00
# E250 - surgical time, to Z588
................................ per 15 minutes or major part thereof 100.00
Note:
1.Z292 rendered in association with duodenoscopy and small bowel push enteroscopy
services is not eligible for payment unless the laryngoscopy service is rendered for suspicion
of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical
consultant on a manual review basis and require the submission of a written explanation.
2.Z588 is an all-inclusive fee code. With the exception of E250, no other surgical or procedural
services are eligible for payment when Z588 is eligible for payment.
3.Time units are calculated based on the time spent by the physician in direct contact with the
patient for the purpose of the procedure. Time commences when the physician is first in
attendance with the patient in the operating/procedure room and ends when the physician is
no longer in attendance with that patient in the operating/procedure room.
[Commentary:
Manual review is not required for Z293, Z322 and Z323 rendered in association with
duodenoscopy and small bowel push enteroscopy services.]
# Z512 Endoscopy of ileostomy or colostomy, or reduction of
obstructed Koch ileostomy ................................................. 36.80 4
# E747 - to cecum .................................................................... add 31.15
# Z514 - with biopsy.......................................................................... 44.55 4
SIGMOIDOSCOPY
# Z580 Sigmoidoscopy (using 60 cm. flexible endoscope)................. nil 57.70 5
Note:
1.Z580 is not eligible for payment with Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499
or Z555 same patient same day.
2.For sigmoidoscopy with rigid scope, see Z535 (Rectum).
3.Time units and anaesthesia extra units listed on GP97 are not eligible for payment with
anaesthesia services for Z580C.
4.E003C is not payable for anaesthesia services rendered for Z580.Fee master record
Master, record 7089. Record Layout PDF, page 1.
Z29220260401999999990000061300000000000000000000000000000095760000000957600
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.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00000613000 / 61.3 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000957600 / 95.76 |
| non anaesthetist | 00000957600 / 95.76 |
Explanation
AI-generated. Unreviewed.
Direct laryngoscopy without biopsy. It is listed under Respiratory Surgical Procedures, Endoscopy, Laryngoscopy, Direct.
Watch out for
Z296 is not eligible for payment in addition to Z292 on the same patient on the same date of service.
Report an issue
Something off?
Report an issue with Z292. Do not include patient names, health details or other personal information.