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Z131
Z131 – Radical nail bed destruction - multiple
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Radical, including destruction of nail bed for multiple nails. This service is denoted with a '#' prefix, indicating that for services performed in a hospital or ICHSC, the premises, equipment, supplies, and personnel are funded through the facility's budget and cannot be charged to the patient if performed outside these settings. Refer to for details on the '#' prefix.
When to Use
- Use Z131 when performing a radical destruction of the nail bed on two or more nails during the same operative session.
- Choose Z131 instead of Z130 when the procedure involves multiple nails, as Z130 is strictly for a single nail bed destruction.
Common Pitfalls
- Billing Z131 in conjunction with Z130 for the same patient on the same day will result in a rejection for duplicate or overlapping services.
- Attempting to bill a surgical assistant fee with Z131 will be rejected, as the Schedule of Benefits explicitly lists 'nil' for assistant eligibility.
Billing Tips
- Ensure the operative report clearly documents the destruction of multiple nail beds to justify the use of the 'multiple' code over the single-nail Z130.
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