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Z220 – Biopsy, bone - needle/punch, x-ray control

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Z220 is a surgical procedure for a needle or punch biopsy of bone, specifically from the shoulder, arm, or chest wall, performed under x-ray control. This service is part of the Musculoskeletal System Surgical Procedures section. The fee is for the surgical component (suffix 'A'). An anaesthesia service (suffix 'C') is separately billable with 6 basic units. Assistance at surgery (suffix 'B') is not an eligible service for this procedure. See for details. This service is subject to general surgical payment rules and may be eligible for various premiums such as age-based premiums (), after-hours procedure premiums (), and the trauma premium ().
All insured services must be documented in the patient's medical record, establishing that the service was provided, is the service submitted for payment, and was medically necessary, as per .

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