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Z226
Z226 – Incision and drainage of soft tissue or bursa
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z226 is incision and drainage of soft tissue or a bursa. The Musculoskeletal System Surgical Procedures section lists it under Incision and Drainage in the Elbow and Forearm section ("Soft tissue or bursa, incision and drainage", ), the Shoulder, Arm and Chest section ("Bursae/soft tissue", ), the Pelvis and Hip section ("Bursae/soft tissue", ), the Femur section ("Soft tissue", ), the Knee section ("Soft tissue", ), the Fibula and Tibia section ("Soft tissue", ) and the Foot and Ankle section ("Bursae", ). No surgical assistant units are listed for Z226, and the anaesthesia column lists 7 basic units.
All insured services must be documented in appropriate records to 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.
If rendered by a Medical Trainee, the medical record must identify the Supervising Physician, the Medical Trainee and level of training, the description of the service performed, patient consent, and be signed off on by the Supervising Physician.
Procedures prefixed with a 'Z' are surgical procedures. An admission assessment for a Z-prefix procedure by a surgical specialist who has assessed the patient prior to admission for the same illness is deemed a specific re-assessment, not a full assessment or consultation.
The master fee record for Z226 indicates a fee of $0.00 for surgical assistance (suffix B), implying that assistant services are not payable for this procedure. Therefore, assistant-related premiums and unit calculations do not apply.
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