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Z229

Z229Tenotomy - closed - one toe

OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

A closed tenotomy is a surgical procedure for the cutting of a tendon in a single toe, performed via a closed technique, which does not require a large open incision.

When to Use

  • Use Z229 for percutaneous release of a tendon in a single toe when no formal open incision is required.
  • Select Z229 when performing a closed tenotomy for conditions such as hammer toe or mallet toe deformity where the tendon is released via a needle or small puncture.

Common Pitfalls

  • Do not bill Z229 if an open incision is made to expose the tendon, as this would require a different surgical code.
  • Z229 is restricted to a single toe; billing multiple toes under one Z229 claim will lead to rejection or audit, as each toe requires a separate line item with the appropriate diagnostic code.
  • Attempting to claim an assistant fee directly with Z229 will result in rejection because it is not an assistant-eligible procedure; M400B must be used via the IC process.

Billing Tips

  • When performing the procedure on multiple toes, append the appropriate site modifiers (e.g., T1, T2) to each Z229 line item to ensure correct processing.
  • If the procedure is performed in an after-hours setting, ensure you apply the relevant E-series premium code to the Z229 fee to capture the 50% or 75% increase.
Provider Fee$49.20
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

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