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Z362

Z362Removal of indwelling catheter

OHIP Psychiatric Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

Removal of a chronic indwelling pleural catheter. This service is intended for the palliative management of malignant pleural effusion.

When to Use

  • Use Z362 for the definitive removal of a chronic indwelling pleural catheter (e.g., PleurX) in a patient with malignant pleural effusion.
  • Use this code when the catheter is no longer required due to successful pleurodesis or the patient's transition to a different palliative care plan.

Common Pitfalls

  • Do not bill Z362 for simple catheter adjustments or troubleshooting; these services must be claimed as a visit fee.
  • Avoid billing image guidance separately, as the fee for Z362 is all-inclusive and already accounts for any necessary imaging or interpretation.
  • Ensure the procedure is for a chronic indwelling pleural catheter; attempting to use this for other types of drainage tubes will result in rejection.

Billing Tips

  • If the removal is performed on an urgent or after-hours basis, ensure you append the appropriate premium code (E409A or E410A) to maximize the procedural reimbursement.
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

1. Z361 and Z362 include any image guidance and interpretation.

2. Z361 and Z362 are not payable for adjustment of a previously inserted indwelling pleural catheter. The applicable visit fee may be claimed.

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