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Z359
Z359 – Repeat bronchoscopy for tracheobronchial toilet
OHIP Psychiatric Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
Z359 is for a repeat bronchoscopy for tracheobronchial toilet when performed within one week of another bronchoscopic procedure. As an Independent Operative Procedure (IOP) indicated by the '#' prefix, the premises, equipment, supplies, and personnel are funded by the hospital or Integrated Community Health Services Centre (ICHSC).
When to Use
- Use Z359 for a repeat tracheobronchial toilet procedure performed within seven days of an initial diagnostic or therapeutic bronchoscopy.
- Select this code when the clinical necessity for airway clearance persists or recurs shortly after a primary bronchoscopic intervention.
Common Pitfalls
- Billing Z359 beyond the seven-day window from the initial bronchoscopy will result in rejection, as it is strictly defined as a repeat procedure within that timeframe.
- Attempting to bill Z359 as a primary procedure will lead to rejection; it is specifically intended for repeat airway management following a preceding bronchoscopic event.
- Failure to recognize the '#' prefix means the code is an Independent Operative Procedure, and billing it alongside other surgical procedures may trigger payment adjustment rules (e.g., 85% rule).
Billing Tips
- Ensure the initial bronchoscopy date is clearly documented in the patient record to justify the Z359 claim within the mandatory one-week interval.
- Apply relevant age premiums for pediatric patients or after-hours premiums (E409/E410) to the Z359 fee to maximize the claim value for non-elective procedures.
Provider Fee$56.65
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
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