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Z126
Z126 – Other areas - two lesions
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z126 is a surgical procedure for the excision of two lesions from other areas under local anaesthetic. It is categorized under 'M. Integumentary System Surgical Procedures', specifically 'Group 3 - cyst, haemangioma, lipoma'. The procedure is performed under local anaesthetic.
When to Use
- Use Z126 when performing the excision of exactly two distinct lesions from 'other areas' (non-face/neck) during a single encounter under local anaesthetic.
- Use Z126 as the primary code when the lesions are categorized as cysts, haemangiomas, or lipomas, distinguishing it from Z125 which is for a single lesion.
Common Pitfalls
- Do not bill Z126 alongside Z125 for the same anatomical area; the Schedule of Benefits requires the use of the specific code for the total number of lesions removed.
- Avoid billing Z126 if the lesions are located on the face or neck, as these require different codes from the Z120-Z124 series.
- Do not attempt to add a consultation fee on the same day as the procedure unless it qualifies as the 'major pre-operative visit' where the decision to operate was finalized.
Billing Tips
- Ensure the operative note explicitly states that two lesions were removed to justify the Z126 fee over the lower-valued Z125.
- If the patient is under 16 years of age, remember to append the appropriate age-based premium to the Z126 base fee to maximize the claim value.
Provider Fee$49.30
Effective: April 1, 2026
Category
M. Integumentary System Surgical Procedures
Subcategory
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Service Type
Procedure
Code Classes
Integumentary System Surgical Procedures
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