Z192 – Repair of laceration - more than 15.1 cm - on face
OHIP Psychiatric Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of a laceration on the face that is more than 15.1 cm in length. The service is eligible for suffixes A (Surgeon), B (Assistant), and C (Anaesthetist). The fee for the surgeon (Z192A) is a set amount. The fee for the anaesthetist (Z192C) is calculated using 7 base units plus time units as per . The service for an assistant (Z192B) is not paid directly and requires submission under M400B with supporting documentation for independent consideration, using 7 base units as per .
When to Use
- Use Z192A for facial lacerations exceeding 15.1 cm in length that require formal surgical repair.
- Select Z192A when the repair is performed in a hospital setting, as it is the primary code for high-complexity facial wound closure.
Common Pitfalls
- Do not bill Z192A if the wound closure is performed using tissue adhesives (e.g., Dermabond), as this is subject to a 50% reduction in the fee.
- Avoid billing E530 (General Anaesthesia) if any other procedure is performed during the same encounter, as E530 is only payable when the suture is the sole procedure.
- Failure to document the exact length of the laceration in the chart is a common audit risk, as length is the sole determinant for selecting Z192 over lower-tier codes like Z191.
Billing Tips
- If performing the repair in a community clinic setting, ensure you add the E542 premium to capture the overhead compensation for non-hospital procedures.
- For pediatric patients, always apply the appropriate age-based percentage premium (e.g., 30% for <30 days, 15% for 2-5 years) to the Z192A base fee to ensure accurate reimbursement.
Effective: April 1, 2026
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
Wound closure via tissue adhesives (such as cyanoacrylate) is payable at 50% of the appropriate fee.
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