Z302 – Turbinate reduction
OHIP Psychiatric Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
`#Z302` is an Independent Operative Procedure (IOP) for the reduction of the turbinates, performed unilaterally or bilaterally by any method. The fee for this surgical service includes pre-operative care, the procedure itself, and post-operative care for up to two weeks, excluding the first and second post-operative visits and the discharge day visit if applicable (see :529). As an IOP, specific rules apply to billing assessments on the same day (see :532).
When to Use
- Use Z302 for surgical reduction of turbinates regardless of whether the procedure is performed unilaterally or bilaterally, as the fee is inclusive of both.
- Use Z302 when performing turbinate reduction as an Independent Operative Procedure (IOP) in a hospital or ICHSC setting, ensuring it is not bundled with other nasal procedures that would trigger the 85% rule under SP3:531.
Common Pitfalls
- Billing an assessment code on the same day as Z302 is a frequent rejection; if the major pre-operative assessment occurred within the previous 12 months, only a minor or partial assessment is eligible.
- Attempting to bill Z302 twice for a bilateral procedure is an error, as the listed fee is already inclusive of bilateral service.
- Failing to account for the 14-day post-operative period; any follow-up visits within this window are considered part of the surgical fee and are not separately billable.
Billing Tips
- If an assistant is required, you must submit a letter of justification to the Ministry to receive payment on an Independent Consideration basis using M400B.
- Always verify if the patient has had a major pre-operative assessment within the last 12 months, as this dictates whether you can bill an assessment on the day of the Z302 procedure.
Effective: April 1, 2025
P. Respiratory Surgical Procedures
RESPIRATORY SURGICAL PROCEDURES
Surgical
Respiratory Surgical Procedures
The '#' prefix indicates that for services performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital global budget. For services in an Integrated Community Health Services Centre (ICHSC), these are funded under facility costs. See :27.
Assistant's service is eligible for payment on an Independent Consideration basis upon authorization by a medical consultant. A letter from the surgeon outlining the reason the assistant was required must be submitted. Claims for this service should use fee code M400B with 6 basic units. See :99.
Anaesthesia basic units are 6. See :631.
The listed fee for this service applies to both unilateral and bilateral procedures.
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