Z180 – Resuscitation - Major Burn, Initial Care - first day
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
The Z180 service is for being in constant or periodic attendance following a major burn, to provide all aspects of resuscitation to the patient on the first day. This follows the initial assessment and includes subsequent assessments as indicated. The specific elements are those of an assessment, including ongoing monitoring of the patient’s condition and intervening as appropriate (see General Preamble ). Instead of element H, the assessment includes providing premises, equipment, supplies, and personnel for any aspects of the specific elements performed in a place other than where the assessment is performed. Separately billable interventions may be claimed in addition to these fees.
When to Use
- Use Z180 for the first 24 hours of resuscitation management for a patient with major burns requiring constant or periodic attendance.
- Use this code when you are providing the comprehensive resuscitation care package, including ongoing monitoring and clinical interventions, rather than a standard consultation or subsequent visit code.
Common Pitfalls
- Do not bill Z180 in addition to a standard hospital admission assessment or consultation, as the resuscitation fee is intended to cover the initial intensive management period.
- Avoid billing Z180 for minor burn care; it is specifically reserved for major burns requiring the intensive resuscitation elements defined in the preamble.
- Failure to document the intensity of the attendance and the specific resuscitation interventions performed can lead to recovery during an audit.
Billing Tips
- You may bill separately for additional surgical procedures performed during the resuscitation period, provided they are not considered part of the inclusive resuscitation elements.
- Ensure that any applicable age-based premiums or after-hours premiums are applied to the Z180 fee, as it is a surgical procedure code.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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