What is OHIP billing code Z096?

Z096 is "Lipoma - 5 to 10 cm", an OHIP Integumentary System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does Z096 pay?

The current OHIP fee for Z096 is $87.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill Z096 to OHIP?

Z096 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z096 claims against the Schedule of Benefits rules before submission.

What codes are related to Z096?

Codes related to Z096 in the Schedule of Benefits include E542.

All codes

Z096

Z096 – Lipoma - 5 to 10 cm

OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Lipoma - 5 to 10 cm, listed under Group 4 - other lesions. E542 may be added when performed outside hospital.

All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

E542

This is a surgical procedure and must be claimed with suffix 'A' by the operating surgeon.

Assistant at surgery (suffix 'B') is payable based on a calculation of basic units plus time units. The fee for assistant services for Z096 is listed as $84.84. After-hours premiums E400B (50%) and E401B (75%) may apply. Special visit premiums may also be applicable (, ).

Anaesthesia service (suffix 'C') is payable based on a calculation of basic units plus time units. The fee for anaesthesia for Z096 is listed as $105.06. After-hours premiums E400C (50%) and E401C (75%) may apply. Various extra units for patient conditions (e.g., age, BMI, ASA status) may be added (). Special visit premiums may also be applicable ().

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