Z114 – Foreign body removal - local anaesthetic
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z114 is listed as a surgical procedure code. Specific details regarding the exact nature of this procedure are not provided in the source documents. As a surgical code found in the Z-series of the Schedule, it is subject to the general rules governing surgical services. General Rules & Premiums: - Suffixes: Per , this service is eligible for suffixes: 'A' for the surgeon, 'B' for an assistant, and 'C' for an anaesthesiologist. However, the master fee data indicates a payment of $0.00 for assistant and anaesthetist services, which may imply 'nil' base units as described on (Surgical Assistants) and (Anaesthesiologists). - Admission Assessment: If this procedure is performed on an in-patient basis, the admission assessment rules for 'Z' prefix codes on apply. - Age-Based Premiums: The service is eligible for age-based premiums for patients under 16 years of age as per . - After Hours Premiums: If performed as a non-elective procedure after hours, it is eligible for after-hours procedure premiums E409 or E410 (). - Trauma Premium: The E420 trauma premium may be applicable if the service is rendered for a trauma patient meeting the Injury Severity Score (ISS) criteria outlined on .
When to Use
- Use Z114 for the removal of a superficial foreign body requiring local anaesthetic, such as a splinter or glass fragment from the skin.
- Select Z114 instead of Z115 when the procedure is performed under local anaesthetic rather than requiring a more complex surgical approach.
Common Pitfalls
- Billing Z114 in addition to an office visit (A007) is generally disallowed as the procedure code is intended to be comprehensive for the minor surgery.
- Failing to append the E542 add-on code when the procedure is performed in a clinic setting outside of a hospital environment results in under-billing.
Billing Tips
- Always append E542 to your Z114 claim if the procedure is performed in your office to capture the additional $12.65 fee.
Effective: April 1, 2026
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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.
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