All codes
Z361
Z361 – Insertion of indwelling catheter
OHIP Psychiatric Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits
This service is for the insertion of a chronic indwelling pleural catheter specifically for the palliative management of malignant pleural effusion. The fee for this procedure is comprehensive and includes any image guidance and its interpretation. It is important to note that this code is not to be used for the adjustment of a previously inserted indwelling pleural catheter; in such cases, the appropriate visit fee should be claimed.
When to Use
- Use Z361 for the initial, primary insertion of a chronic indwelling pleural catheter specifically to manage malignant pleural effusion.
- Use this code when the procedure is performed under image guidance, as the fee is comprehensive and covers both the insertion and the interpretation of the imaging.
Common Pitfalls
- Billing Z361 for the adjustment or maintenance of an existing catheter is a common error; these services must be claimed using a standard visit fee code instead.
- Attempting to bill separately for image guidance or ultrasound interpretation is a rejection risk, as these are already included in the $200.00 fee for Z361.
- Failing to account for the Independent Operative Procedure (IOP) rules regarding same-day assessments, which can lead to the denial of your visit fee if the major pre-operative assessment is performed on the same day.
Billing Tips
- Ensure your documentation clearly states the diagnosis of malignant pleural effusion to satisfy the specific patient condition requirement for this code.
- If you are performing this procedure after hours or on weekends, ensure you apply the appropriate E-series premium (e.g., E409 or E410) to the procedural fee to maximize your claim.
Provider Fee$200.00
Effective: April 1, 2025
Category
P. Respiratory Surgical Procedures
Subcategory
RESPIRATORY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Respiratory Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.