What is OHIP billing code Z116?

Z116 is "Biopsy - any method, when sutures are used", an OHIP Psychiatric code from the Ontario Schedule of Benefits (Physician Services).

How much does Z116 pay?

The current OHIP fee for Z116 is $32.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill Z116 to OHIP?

Z116 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z116 claims against the Schedule of Benefits rules before submission.

All codes

Z116

Z116 – Biopsy - any method, when sutures are used

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

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This procedure involves obtaining a tissue sample by any method, requiring the use of sutures for closure. It is a biopsy of the integumentary system.

When to Use

Use Z116 for an excisional biopsy of a skin lesion that requires formal suturing for closure, as opposed to Z115 which covers biopsies performed without sutures.
Select Z116 when performing a punch biopsy that necessitates a suture for adequate wound approximation, rather than relying on pressure or cautery alone.

Common Pitfalls

Billing Z116 in conjunction with a minor surgery code that already includes closure in its fee structure, which will trigger a rejection for unbundling.
Failing to document the use of sutures, as auditors specifically look for evidence of wound closure to justify the higher fee compared to non-sutured biopsy codes.

Billing Tips

Ensure the operative note explicitly mentions the number of sutures used to close the biopsy site to support the use of Z116 over simpler excision codes.

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Provider Fee$32.45

Effective: April 1, 2026

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