Fee
| Component | Value |
|---|---|
| Provider fee | $77.00 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2026-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
Diagnostic with or without urethroscopy ................................. 77.00 5
Passages mentioning Z606
Ocular Surgery, Cystoscopy, and Examination Under Anaesthesia
E023C Anaesthesia service for E138, E139, E140, E141, E144, E145,
E146, E186, E187, E149, Z432, Z606, or Z607
............................................. 6 basic units, plus time units.
Colonoscopy and Sigmoidoscopy
E032C Anaesthesia service for Z491, Z492, Z493, Z494, Z495, Z496,
Z497, Z498, Z499, Z555 or Z580
.............................................. 4 basic units, plus time units
[Commentary:
1.Deep sedation, general anaesthesia or regional anaesthesia, performed by an
anaesthesiologist, are examples of anaesthesia that may be rendered for E023C and E032C.
2.Anaesthesia extra units listed on GP97 are eligible for payment with E023C and E032C.
3.Local infiltration or topical anaesthesia used as an anaesthetic for any procedure is not
eligible for payment.]
Note:
For the purposes of anaesthesia services the following definitions apply:
1.Procedural Sedation is a drug-induced depression of consciousness during which patients
respond purposefully to verbal commands, either alone or accompanied by light tactile
stimulation. No interventions are required to maintain a patent airway, and spontaneous
ventilation is adequate. Cardiovascular function is usually maintained.
2.Deep Sedation is a drug-induced depression of consciousness during which patients cannot
be easily aroused but respond purposefully following repeated or painful stimulation. The
ability to independently maintain ventilatory function may be impaired. Patients may require
assistance in maintaining a patent airway, and spontaneous ventilation may be inadequate.
Cardiovascular function is usually maintained.
3.General Anaesthesia is a drug-induced loss of consciousness during which patients are not
arousable, even by painful stimulation. The ability to independently maintain ventilatory
function is often impaired. Patients often require assistance in maintaining a patent airway,
and positive pressure ventilation may be required because of depressed spontaneous
ventilation or drug-induced depression of neuromuscular function. Cardiovascular function
may be impaired.
ANAESTHESIA ADMINISTERED BY SAME PHYSICIAN PERFORMING A PROCEDURE
1. Except as described in paragraph 2, when a physician administers an anaesthetic, nerve block
and/or other medication prior to, during, immediately after or otherwise in conjunction with a
diagnostic, therapeutic or surgical procedure which the physician performs on the same patient,
the administration of the anaesthetic, nerve block and/or other medication is not eligible for
payment.BOTULINUM TOXIN SERVICES
G869 Botulinum toxin injection(s) of bladder detrusor muscle ......... 150.00
Payment rules:
1. G869 is only eligible for payment for management of symptomatic refractory overactive
bladder that has not been responsive to a minimum of three months of active treatment with
behavioral modification or anticholinergics.
2. Only one G869 service is eligible for payment per patient per day and includes all injections
necessary to deliver the total dosage (one treatment) that is recommended in current
practice guidelines
3. G869 is only eligible for payment for one treatment per patient every 12 weeks. If, in the
opinion of the treating physician, more frequent treatments are necessary, submit claim for
manual review with supporting documentation. Authorization will be dependent on the
physician demonstrating that the increased frequency of the service is generally accepted as
necessary for the patient under the circumstances.
Medical record requirements:
Subsequent G869 services are only eligible for payment if the patient’s response(s) to previous
G869 services are documented in the permanent medical record.
[Commentary:
Z606 is eligible for payment with G869, if performed]
G870 Botulinum toxin injection(s) of extraocular muscle(s),
(unilateral) .......................................................................... 120.00
G871 Botulinum toxin injection(s) for blepharospasm, (unilateral or
bilateral).............................................................................. 120.00
G872 Botulinum toxin injection(s) for hemifacial spasm, (unilateral or
bilateral).............................................................................. 120.00
G873 Botulinum toxin injection(s) for spasmodic dysphonia ............ 120.00
G874 Botulinum toxin injection(s) for sialorrhea or epiphora,
(unilateral or bilateral)......................................................... 120.00
Botulinum toxin injection for the following conditions: Oromandibular dystonia, limb
dystonia, cervical dystonia or spasticity
G875 First injection........................................................................... 40.00
G876 - each additional injection to a maximum of 11, to G875
..................................................................................... add 10.00
EMG and/or ultrasound guidance for Botulinum toxin injections
G877 - when EMG and/or ultrasound guidance required to
determine injection site (for one injection), to G870, G873,
G874, or G875.............................................................. add 18.85
G878 - when EMG and/or ultrasound guidance required to
determine injection site (for two or more injections), to
G870, G873, G874 or G876 ......................................... add 28.10
E543 - use of disposable EMG hypodermic electrode outside
hospital (maximum of one per patient per day), to G877 or
G878 .......................................................................... add 30.60UROGENITAL AND URINARY SURGICAL PROCEDURES
KIDNEY AND UPPER URINARY TRACT
Asst Surg Anae
PERCUTANEOUS PROCEDURES
# Z629 Percutaneous nephrostomy.................................................... 164.40 6
# Z623 Insertion of stent ..................................................................... 101.95
# Z624 Dilatation of tract..................................................................... 105.25
# Z625 Selective catheterization of calyces (one or more) ................. 55.35
# Z626 Nephroscopy, percutaneous or retrograde ............................. 102.85 6
# Z627 Removal of renal calculi.......................................................... 6 180.35 7
# E759 - if disintegrated by any method, to Z627..................... add 102.85
# E772 - percutaneous removal of staghorn calculus filling renal
pelvis and extending into calyces .............................. add 188.15
# Z636 Endoscopic ureterotomy or pyelotomy ................................... 293.00 7
[Commentary:
Z636 is eligible for payment when rendered by percutaneous or retrograde route.]
# Z637 Percutaneous ablation of calyceal diverticulum to include
dilation of communication with calyx and fulguration ......... 262.75 6
# Z600 Change of nephrostomy tube ................................................. 44.00
RENAL TRANSPLANTATION PROCEDURES
Note:
Submit on recipient’s claim. These fees do not include immunosuppressive therapy which is on
a fee-for-service basis.
# E762 - reconstruction or repair of renal artery done in addition
torenal transplantation procedures ............................ add 307.20
# S435 Kidney transplant .................................................................... 9 1585.10 13
# E769 - team fee (not to be billed when assistant fees are billed)
................................................................................... add 260.05
# S434 Kidney re-transplant................................................................ 9 1896.35 13
# E771 - team fee (not to be billed when assistant fees are billed)
................................................................................... add 350.45
# S436 Donor nephrectomy - unilateral or bilateral (to include renal
perfusion with hypothermia when rendered by surgeon) ... 7 700.30 8
# E753 - live donor ................................................................... add 430.35
# E792 - when performed laparoscopically, to S436 ........ add 25%
Note:
For nephrological components - see Diagnostic and Therapeutic Procedures.
# Z631 Fine needle aspiration of renal transplant............................... 45.15
ENDOSCOPIC PROCEDURES
# S470 Cystoscopy with manipulation and/or removal of calculus and
retrograde pyelogram if required ........................................ 240.65 6
# Z638 Endoscopic treatment of vesicoureteral reflux by subureteral
injection of agent, unilateral or bilateral.............................. 6 450.00 6
Note:
Z606, Z607, Z611, Z617 and Z628 are not eligible for payment with Z638.UROGENITAL AND URINARY SURGICAL PROCEDURES
KIDNEY AND UPPER URINARY TRACT
Asst Surg Anae
Cystoscopy and diagnostic Ureteroscopy
# Z628 - above intramural................................................................ 125.70 6
# E819 - diagnostic ureteroscopy of second ureter, to Z628 .... add 54.65
# E822 - ureteroscopy to upper third of ureter or renal pelvis, to
Z628........................................................................... add 39.60
# E760 - with removal of calculus............................................. add 174.55
# E761 - intracorporeal lithotripsy by any method .................... add 100.75
# E820 - with biopsy of one or more sites in ureter and/or pelvis
using ureteroscope .................................................... add 53.35
# E823 - resection and fulgarization of one or more ureteral or renal
pelvic tumours, to Z628.............................................. add 250.50
INCISION
Ureterotomy, abdominal or vaginal exploratory or for drainage
With removal of calculus
# S445 - upper 2/3 ............................................................................ 6 376.80 7
# S446 - lower 1/3............................................................................. 6 482.40 7
Where ureter has been previously opened
# S447 - upper 2/3 ............................................................................ 6 437.20 6
# S448 - lower 1/3............................................................................. 6 522.50 7
EXCISION
Ureterectomy
# S449 - including ureterovesical junction ........................................ 6 477.50 7
# S450 - other e.g. partial ................................................................. 6 355.60 7
REPAIR
# S452 Ureteroileal conduit................................................................. 6 844.95 9
# S454 - with ureterectomy and ileal replacement ........................... 6 957.85 9
# S457 Ureteroureterostomy............................................................... 6 592.05 8
# E792 - when performed laparoscopically, to S457 ........ add 25%
Re-implantation
# S451 Ureterovesical anastomosis or re-implantation unilateral ....... 6 525.55 8
Note:
Not to be billed in addition to S482.
# S561 Re-implantation of ureter with extensive tapering with or
without ureterolysis............................................................. 6 743.45 8
# S562 Re-implantation of bifid ureter................................................. 6 747.90 8
# E792 - when performed laparoscopically, to S451, S561 or S562
........................................................................... add 25%
# Z638 Endoscopic treatment of vesicoureteral reflux by subureteral
injection of agent, unilateral or bilateral.............................. 6 450.00 6
Note:
Z606, Z607, Z611, Z617 and Z628 are not eligible for payment with Z638.BLADDER
Asst Surg Anae
ENDOSCOPY - CYSTOSCOPY
Diagnostic and Therapeutic Procedures
# Z606 Diagnostic with or without urethroscopy ................................. 77.00 5
# Z607 Repeat within 30 days ............................................................ 38.05 5
# E775 - with catheterization of the ureter and collection of the
ureteral specimen, unilateral...................................... add 16.45
# E817 - with catheterization of the ureter and retrograde injection
of opaque media, unilateral........................................ add 16.45
# E776 - with unilateral brush biopsy of renal pelvis and/or ureter,
and/or transurethral biopsy of bladder ....................... add 26.70
# E818 - with insertion of ureteric stent, unilateral.................... add 26.70
# E777 - with cystometrogram (to include urethral pressure profile if
necessary) ................................................................. add 12.35
# E783 - with secondary surgical evacuation of bladder clots and
control of haemorrhage.............................................. add 106.80
# E784 - with hydrodistention of bladder - general anaesthetic add 53.45
# E824 - with bladder biopsy - general anaesthetic.................. add 53.45
# E773 - with placement of ureteric stent past obstructing lesion
(unilateral) .................................................................. add 53.50
Note:
1.Only one of E773 or E818 is eligible for payment for the same ureteric obstruction.
2.Time units and anaesthesia extra units listed on GP97 are not eligible for payment with
anaesthesia services for Z606C or Z607C.
3.E003C is not payable for anaesthesia services rendered for Z606 or Z607.
# E791 - with periurethral injection of bulking agents ............... add 50.70
Payment rules:
1.E791 is not eligible for payment with any procedural fee code other than Z606
2.E791 is only eligible for payment for one treatment per patient every 16 weeks
# E781 - with electrocoagulation - tumour(s)............................ add 53.50
# E782 - with electrocoagulation - Hunner ulcer....................... add 53.50
# E786 - with resection or incision bladder neck, female ......... add 106.85
# E787 - with resection or incision bladder neck, male ............ add 279.20
# E788 - with ureteral meatotomy, by any means .................... add 99.70
# E789 - with removal foreign body or calculus........................ add 106.85
# E790 - with removal of ureteric catheter................................ add 9.45
# E751 - with insertion of chemotherapeutic agent(s) .............. add 58.65
Note:
E751 is not eligible for payment with Z603 or Z611.
Excision of tumour or tumours including base and adjacent muscles and electrocoagulation,
if necessary
# Z632 - single tumour 1 to 2 cm diameter ....................................... 290.90 6
# Z633 - single tumour over 2 cm diameter ...................................... 468.70 6
# Z634 - multiple tumours ................................................................. 468.70 6# S544 Urethrectomy - radical ............................................................ 6 318.35 6
REPAIR
# S548 Urethral sling........................................................................... 6 409.10 6
# S815 Tension free vaginal tape mid-urethral sling, by any method/
approach ............................................................................ 6 421.65 6
Payment rules:
Cystoscopy (Z606) is not eligible for payment with S815 or S548 unless the cystoscopy is
rendered for suspicion of disease.
Retropubic urethropexy for stress incontinence
# S549 - primary procedure .............................................................. 6 419.75 6
# S546 - repeat procedure for failed retropubic or vaginal surgery for
stress incontinence............................................................. 6 532.00 7
# E862 - when performed laparoscopically, to S549 or S546
........................................................................... add 25%
Note:
See also procedures for stress incontinence in Female Genital Surgical Procedures.
# S539 Insertion of artificial urinary sphincter ..................................... 6 832.65 6
# S540 Revision or removal of artificial urinary sphincter ................... 6 257.05 7FEMALE GENITAL SURGICAL PROCEDURES
VAGINA
Asst Surg Anae
# E862 - when performed laparoscopically, to S760, S813 or S761
........................................................................... add 25%
# S724 Perineorrhaphy (not eligible for payment with delivery or other
vaginal surgery procedures)............................................... 8 127.35 8
# S725 Colpocleisis (LeFort or modification) ...................................... 8 300.35 8
# S726 Construction of artificial vagina (see General Preamble GP12) 6 I.C 6
Closure of fistula
# S523 Vesicovaginal.......................................................................... 6 848.90 6
# S231 Rectovaginal (any repair)........................................................ 6 338.55 6
# S729 Ureterovaginal ........................................................................ 6 560.95 6
# S709 Urethrovaginal ........................................................................ 6 374.85 6
Retropubic Urethropexy
# S549 Primary procedure .................................................................. 6 419.75 6
# S546 Repeat procedure for failed retropubic or vaginal surgery for
stress incontinence............................................................. 6 532.00 7
# E862 - when performed laparoscopically, to S549 or S546
........................................................................... add 25%
# S815 Tension free vaginal tape mid-urethral sling by any method/
approach ............................................................................ 6 421.65 6
Payment rules:
Cystoscopy (Z606) is not eligible for payment with S815 unless the cystoscopy is rendered for
suspicion of disease.Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure)
[Commentary:
Combined abdominal vaginal sling procedures are indicated for the management of stress
incontinence or genital prolapse, particularly following previous failed anti-incontinence
procedures of any kind, or a very large cystocoele. The procedure usually entails entry into the
space of Retzius through an abdominal approach (open or laparoscopic) in conjunction with an
anterior vaginal dissection (with or without cystoscopy) following which the sling material
(autologous, synthetic or xenograft) is passed through the perineal membrane, placed under
appropriate tension at the bladder neck, and sutured to Cooper’s ligament bilaterally.]
Payment rules:
1.Anti-prolapse procedures or other anti-incontinence procedures are not eligible for payment
when rendered with combined abdominal-vaginal procedures for stress incontinence (sling
procedures).
2.Cystoscopy (Z606) is not eligible for payment with combined abdominal-vaginal procedures
for stress incontinence (sling procedures) unless the cystoscopy is rendered for suspicion of
disease.
[Commentary:
Those procedures listed under the titles “Following one previous failed procedure” or “Following
two or more previously failed procedures” are eligible for payment following failure of the
appropriate number of any listed procedure.]Fee master record
Master, record 7331. Record Layout PDF, page 1.
Z60620260401999999990000077000000000000000000000000000000079800000000798000
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 | 00000770000 / 77 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000798000 / 79.8 |
| non anaesthetist | 00000798000 / 79.8 |
Explanation
AI-generated. Unreviewed.
Diagnostic cystoscopy procedure, with or without urethroscopy, listed under diagnostic and therapeutic procedures in the endoscopy and cystoscopy section.
Watch out for
Z606, Z607, Z611, Z617 and Z628 are not eligible for payment with Z638. E003C is not payable for anaesthesia services rendered for Z606 or Z607.
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