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Z197
Z197 – Closed release of ilio-tibial band
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This fee code represents the closed surgical release of the ilio-tibial band. This procedure is typically performed to alleviate pain and symptoms associated with iliotibial band syndrome.
When to Use
- Use Z197 for the percutaneous or closed release of the iliotibial band when performed as a standalone minor surgical procedure.
- Select Z197 over open surgical release codes when the procedure is performed via a small incision or needle-based technique without formal open dissection.
Common Pitfalls
- Do not attempt to bill a surgical assistant (suffix B) with Z197, as this is explicitly restricted by the Schedule of Benefits.
- Avoid billing Z197 in conjunction with a minor assessment code (A007) on the same day, as the assessment is considered included in the surgical fee.
- Ensure the procedure is not miscoded as an open release (which would require a different, higher-value surgical code) to avoid audit discrepancies regarding the surgical approach.
Billing Tips
- If the procedure is performed in an after-hours setting, ensure you append the appropriate after-hours premium code to Z197 to maximize the claim value.
Provider Fee$49.20
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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