What is OHIP billing code Z106?

Z106 is "Abscess or haematoma - Local anaesthetic - ischiorectal or pilonidal", an OHIP Psychiatric code from the Ontario Schedule of Benefits (Physician Services).

How much does Z106 pay?

The current OHIP fee for Z106 is $48.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill Z106 to OHIP?

Z106 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z106 claims against the Schedule of Benefits rules before submission.

All codes

Z106

Z106 – Abscess or haematoma - Local anaesthetic - ischiorectal or pilonidal

OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

A surgical procedure listed in Parts K to Z of the Schedule of Benefits. Specific payment rules apply regarding admission assessments. As per and , when a surgical specialist assesses a patient prior to admission for the same illness for which a 'Z' prefix procedure is performed, the admission assessment is deemed to be a specific re-assessment and is not separately payable as an admission assessment.

When to Use

Use Z106 for the incision and drainage of a pilonidal abscess performed under local anaesthetic in an office or clinic setting.
Use Z106 for the drainage of an ischiorectal abscess when the procedure is limited to local anaesthetic infiltration.
Choose Z106 instead of Z105 when the anatomical location is specifically the ischiorectal fossa or pilonidal region, as Z106 is the more precise descriptor.

Common Pitfalls

Billing an admission assessment (A005/A007) on the same day as Z106 is a common rejection, as the assessment is considered part of the surgical package for 'Z' prefix codes.
Attempting to bill Z106 alongside general incision and drainage codes like Z105 for the same site will trigger a duplicate service rejection.
Failing to document the use of local anaesthetic specifically; if general anaesthesia or sedation is used, Z106 may be disallowed in favor of codes requiring an operating room setting.

Billing Tips

Ensure that if the procedure is performed after hours, you append the appropriate after-hours premium code, as Z106 is eligible for these surcharges.
If the patient is a minor, verify the age-based fee premium is correctly applied to the $48.60 base fee to maximize the claim value.

Have a specific question? Ask our billing assistant

Provider Fee$48.60

Effective: April 1, 2026

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in