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Z232
Z232 – Closed adductors tenotomy
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A closed tenotomy of the adductors. This procedure is listed in the of the Schedule of Benefits under Musculoskeletal System Surgical Procedures for the Pelvis and Hip.
When to Use
- Use Z232 for a closed adductor tenotomy performed to address hip adductor contractures, typically in pediatric patients with cerebral palsy.
- Select Z232 when the procedure is limited to a closed percutaneous release, distinguishing it from the open approach required for Z233.
Common Pitfalls
- Billing Z232 alongside Z233 for the same hip is a common error; these are mutually exclusive for the same anatomical site.
- Failure to document the specific 'closed' nature of the procedure can lead to audit reclassification to an open procedure code if the operative report implies an open incision.
Billing Tips
- Ensure the appropriate age-based fee premium is applied to the base fee of $49.20, as this procedure is most frequently performed on pediatric patients.
- If the procedure is performed bilaterally, ensure the second side is billed with the appropriate bilateral reduction (usually 50%) unless specific Schedule of Benefits rules for this code indicate otherwise.
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