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Z273
Z273 – Muscle core biopsy
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use Z273 when performing a diagnostic muscle core biopsy using a Bergstrom needle (6mm or larger) or equivalent kit.
- Use this code for procedures involving one or more biopsies taken from the same anatomical site during a single patient session.
Common Pitfalls
- Do not bill Z219 in conjunction with Z273, as Z219 is explicitly restricted when Z273 is claimed.
- Avoid billing Z273 for open surgical biopsies or excisional biopsies, as this code is specific to core needle biopsy techniques.
Billing Tips
- Ensure the procedure note explicitly documents the use of a Bergstrom needle or equivalent core biopsy kit to support the use of Z273 over other minor surgical codes.
- Apply relevant age-based premiums (e.g., AGE_PREMIUM_LT16Y) to the base fee of Z273 if the patient meets the specific age criteria for pediatric surgical procedures.
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