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Z251
Z251 – Catheter insertion
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Catheter - insertion
When to Use
- Use Z251 for the surgical insertion of a catheter when the procedure is distinct and not part of a global surgical package for a more complex procedure.
- Use Z251 when performing a catheter insertion that is not covered by more specific urological or vascular procedure codes, ensuring the clinical documentation supports the surgical nature of the insertion.
Common Pitfalls
- Do not bill Z251 for routine catheterizations that are considered part of the standard care or incidental to a primary surgical procedure, as these are bundled into the primary code.
- Avoid billing Z251 alongside an admission assessment by the same surgeon, as the admission assessment is not eligible for payment unless it qualifies as the major pre-operative visit.
Billing Tips
- Unlike many other surgical codes, post-operative visits are not included in the Z251 fee, meaning you can bill subsequent hospital visits such as C122 or C123 for follow-up care.
Provider Fee$49.20
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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