Z155 – Biopsy(ies) - extensive, complicated or requiring general anaesthetic when sole procedure
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z155 is a fee code for a surgical procedure, indicated as part of the Integumentary System Surgical Procedures section by its listing on page . The surgeon's fee is subject to Independent Consideration (I.C.) and requires the 'A' suffix. Surgical assistant services are not eligible for separate billing ('Asst: -'), and anaesthesia services are also subject to Independent Consideration ('Anae: I.C'). Premiums for age, after-hours services, and trauma may be considered as part of the Independent Consideration for the surgeon's fee, but specific percentage increases or flat amounts for these premiums, as well as all surgical assistant and anaesthetist premiums, are not directly applicable as separate add-ons to an I.C. fee unless explicitly stated in the General Preamble for I.C. codes.
When to Use
- Use Z155 for complex, multi-site, or deep tissue biopsies that exceed the scope of standard excision codes like S061 or S062.
- Use Z155 when a biopsy requires general anaesthesia as the sole procedure, distinguishing it from minor biopsies performed under local anaesthetic.
Common Pitfalls
- Billing Z155 for routine skin biopsies that should be coded under the S-series excision codes, which will lead to rejection or audit adjustment.
- Attempting to add separate surgical assistant or anaesthesia premiums to the I.C. fee, which is prohibited as these must be incorporated into the total I.C. submission.
Billing Tips
- Submit a detailed operative report with the claim to justify the 'extensive' or 'complicated' nature of the procedure, as I.C. codes require manual review to determine the appropriate value.
No fee information available.
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records that 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.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.