Z102 – Abscess or haematoma - General anaesthetic - subcutaneous - one
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z102 is a surgical procedure for an abscess or haematoma, performed under general anaesthetic, subcutaneous, one. It is listed in the Integumentary System Surgical Procedures section (M) of the Schedule of Benefits. As a Z-prefix procedure, it is subject to specific billing rules. An admission assessment rendered by the surgical specialist who has previously assessed the patient for the same illness is deemed a specific re-assessment (). The fee for the surgeon (suffix A) and anaesthetist (suffix C) are payable. Per the master record, the fee for a surgical assistant (suffix B) is nil, indicating assistant services are not eligible for payment for this procedure ().
When to Use
- Use Z102 for the incision and drainage of a single subcutaneous abscess or haematoma when a general anaesthetic is required for the procedure.
- Use Z102 when the procedure is performed in an operating room setting, ensuring it is distinguished from minor office-based procedures like Z105.
Common Pitfalls
- Attempting to bill a surgical assistant fee (suffix B) will result in an automatic rejection, as the Schedule of Benefits explicitly lists the assistant fee as nil for Z102.
- Billing Z102 in an emergency department or equivalent setting disqualifies you from claiming the E515 premium, which is strictly reserved for operating room procedures.
- Failing to recognize that the hospital admission assessment is considered a specific re-assessment when performed by the same specialist who previously assessed the patient for the same condition.
Billing Tips
- Always append the E515 premium (110% increase) when Z102 is performed as the sole procedure in an operating room, provided it is not an emergency department setting.
Effective: April 1, 2026
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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