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Z292
Z292 – Laryngoscopy - direct, without biopsy
OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
Direct laryngoscopy without biopsy is an endoscopic procedure to visually examine the larynx. As an Independent Operative Procedure (Z292), specific rules apply regarding pre-operative assessments (see ). The anaesthesia fee is based on 6 base units plus time units as defined in the Schedule (, ). Assistant services are not listed with base units but may be claimed under Independent Consideration using `M400B with 6 base units plus time, requiring a letter of explanation from the surgeon (`). This procedure is not payable when rendered with certain gastrointestinal endoscopies unless for a suspected laryngeal disease, in which case it requires manual review (`).
When `Z292` is claimed in association with gastroscopy, oesophagoscopy, oesophagoscopy-gastroscopy, duodenoscopy, and small bowel push enteroscopy services for a suspicion of disease of the larynx, a written explanation must be submitted for manual review by a medical consultant.
1. E600 is not eligible for payment in addition to E643.
2. Z292 rendered in association with gastroscopy, oesophagoscopy, oesophagoscopy-gastroscopy, duodenoscopy, and small bowel push enteroscopy services is not eligible for payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical consultant on a manual review basis and require the submission of a written explanation.
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