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Z142
Z142 – Removal of breast prosthesis
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Removal of breast prosthesis, listed under Operations of the Breast in the Integumentary System Surgical Procedures section.
All insured services require documentation in the patient's medical record to establish that the service was provided, was medically necessary, and matches the service claimed. See Appendix G of the Schedule for detailed requirements.
If the service is performed by a Medical Trainee under supervision, the medical record must identify: the Supervising Physician; the Medical Trainee and level of training; the description of the insured service performed; patient consent for supervision; and evidence of review by the Supervising Physician. The Supervising Physician must sign off on the service.
For procedures prefixed with 'Z', an admission assessment by the surgical specialist who has previously assessed the patient for the same illness is deemed a specific re-assessment.
A hospital admission assessment by the surgeon is not eligible for payment, unless it is the 'major pre-operative visit' (the consultation or assessment where the decision to operate is made).
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