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Z152
Z152 – Other areas - General anaesthetic - extensive or massive
OHIP Integumentary System Surgical Procedures Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Extensive or massive lesion in 'Other areas' requiring General Anaesthetic. This service is listed as 'IC' (Independent Consideration). Claims for such services must be submitted with a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule. General rules for surgical procedures regarding surgical assistants, anaesthesia, and applicable premiums (after-hours, age-based) also apply.
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.
For 'IC' (Independent Consideration) services, claims must be submitted with a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
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