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Z279
Z279 – Bone/fascial/dermis grafts - different surgeon
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Payable for an autogenous bone, fascial, or dermis graft when performed by a surgeon different from the surgeon performing the primary procedure. This code is listed under the general fees for musculoskeletal system surgical procedures.
When to Use
- Use Z279 when a surgeon harvests an autogenous bone, fascial, or dermis graft for a primary procedure performed by a different surgeon in the same operative session.
- Use this code when the graft harvesting is a distinct, separate surgical effort from the primary reconstruction or fixation performed by the lead surgeon.
Common Pitfalls
- Billing Z279 when the primary surgeon harvests the graft themselves; this code is strictly for when the graft is harvested by a different surgeon.
- Attempting to claim Z279 as an add-on for synthetic or allograft materials, which are not autogenous and do not qualify for this fee.
Billing Tips
- Ensure the operative report clearly identifies the second surgeon who performed the graft harvest to justify the separate billing of Z279.
- Apply relevant after-hours premiums (E409 or E410) to Z279 if the procedure meets the non-elective criteria and timing requirements.
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