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Z265

Z265Costochondral or chondral graft - one rib

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

Surgical harvesting of a costochondral or chondral graft from one rib. This service is intended for when the harvesting of a graft is not an intrinsic component of the primary surgical procedure being performed. For harvesting from additional ribs during the same operation, see E976.

When to Use

  • Use Z265 when harvesting a costochondral or chondral graft from a single rib as a distinct procedure separate from the primary surgical site reconstruction.
  • Apply this code when the graft harvest is not considered an intrinsic or mandatory component of the primary procedure being performed.

Common Pitfalls

  • Billing Z265 when the graft harvest is already included in the fee for the primary surgical procedure, which constitutes unbundling.
  • Failing to use E976 for additional ribs harvested during the same session, as Z265 only covers the first rib.

Billing Tips

  • Always verify if the primary procedure's description includes graft harvesting; if it does, Z265 is not payable as a separate service.
  • Ensure the age premium is applied correctly for patients under 16, as this is a surgical procedure in the Z-section.
Provider Fee$230.65

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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