Z112 – Frenotomy requiring general anaesthetic or frenectomy
OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the release of a tongue tie that is considered complex or requires general anaesthesia. As a #-prefixed code, when performed in a hospital or Integrated Community Health Services Centre (ICHSC), the facility costs (premises, equipment, supplies, personnel) are funded separately and not included in the physician fee (). This procedure is distinct from a simple release of tongue tie, which is billed under Z111.
When to Use
- Use Z112 when a tongue-tie release is performed under general anaesthesia, as this complexity distinguishes it from the simple office-based Z111.
- Use Z112 for complex frenectomy procedures that involve significant excision or reconstruction beyond a simple snip or laser release.
Common Pitfalls
- Billing Z112 for a simple tongue-tie release that could have been performed in-office; this is a common audit trigger for inappropriate use of hospital resources.
- Attempting to bill Z112 alongside Z111 for the same patient encounter; these are mutually exclusive based on the complexity and setting of the procedure.
Billing Tips
- Ensure you apply the appropriate age-based surgical premium (e.g., AGE_PREMIUM_UNDER_1_YEAR) to Z112 to maximize the claim value, as these premiums are specifically eligible for this surgical code.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
To include nasopharynx, oropharynx, hypopharynx except where otherwise specified.
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