Bulletin 261002 — 2024 PSA related fee code adjustments: October updates
New payment rules are being applied to push enteroscopy fee schedule codes E797A and E798A.
To: All Physicians, Integrated Community Health Services Centres
Category: Physician Services
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: October 2, 2026
Bulletin Number: 261002
Overview
The Ministry of Health and the Ontario Medical Association are implementing adjustments to physician payments effective April 1, 2026, as part of the 2024 Physician Services Agreement (PSA).
These adjustments are being added to the OHIP claims system to support recommendations from the Physician Payment Committee (PPC), specifically updating payment rules for gastrointestinal bleeding management fee codes. The following changes were implemented October 1, 2026 with an effective date of April 1, 2026.
Push Enteroscopy fee code updates
| Fee Schedule Code | Description |
| E797A | Management of uncomplicated upper or lower gastrointestinal bleeding by any technique |
| E798A | Management of complicated upper gastrointestinal bleeding by any technique in hemodynamically unstable patients with active bleeding during endoscopy |
Fee codes E797A and E798A are eligible for payment when submitted with Z584A – Small bowel push enteroscopy, by the same provider, for the same patient, on the same date of service. If no eligible claim for Z584A has been processed, the E797A and/or E798A will pay at $0 with explanatory code ‘DF - Corresponding fee code was not billed or paid at zero’.
Medical Claims Adjustment
A medical claims adjustment (MADJ) will be run at a future date to adjust all impacted claims submitted between April 1, 2026, and October 1, 2026, and ensure they are paid in accordance with the revised payment eligibility conditions. Details about any required MADJ will be provided in a future INFOBulletin.
Keywords/Tags
2024 PSA; Gastroenterology; E798A; E797A; Z584A; Push; Upper Gastrointestinal Bleeding; Lower Gastrointestinal Bleeding; Schedule of Benefits.
Contact Information
Do you have questions about this INFOBulletin? Email the Service Support Contact Centre or call 1-800-262-6524. Hours of operation: 8:00 a.m. to 5:00 p.m. Eastern Monday to Friday, except holidays.