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Z448
Z448 – Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis
OHIP Psychiatric Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Percutaneous angioplasty for the aortic valve, pulmonic valve, or pulmonary branch stenosis. As noted on page of the Schedule of Benefits, this service includes angiography, with or without pressure measurements. This is a surgical procedure eligible for surgeon (A), assistant (B), and anaesthetist (C) fees.
When to Use
- Use Z448 for percutaneous balloon angioplasty specifically targeting the aortic valve, pulmonic valve, or pulmonary branch stenosis.
- Use this code when the procedure includes the necessary diagnostic angiography and pressure measurements, as these are bundled into the fee.
Common Pitfalls
- Do not bill separate diagnostic angiography or pressure measurement codes, as these are explicitly included in the Z448 fee per the Schedule of Benefits.
- Avoid billing Z448 for angioplasty of other vessels; ensure the anatomical site matches the aortic or pulmonic/pulmonary branch definition strictly.
Billing Tips
- Ensure the claim includes the appropriate age-based premium if the patient is under 16 years of age, as these are frequently applicable for pediatric cardiac interventions.
- If the procedure is performed after hours or on weekends, apply the relevant E-series premiums (E409/E410) to the procedural fee to maximize reimbursement.
Provider Fee$487.90
Surgical Assistant Fee$243.95
Anaesthetist Fee$309.80
Non-Anaesthetist Fee$309.80
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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