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Z460
Z460 – Closure of patent ductus arteriosis with umbrella
OHIP Psychiatric Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Z460 is a cardiovascular procedure for the percutaneous closure of a patent ductus arteriosus with an umbrella device. The note on page of the Schedule specifies that this service includes angiography, with or without pressure measurements.
When to Use
- Use Z460 specifically for percutaneous closure of a patent ductus arteriosus (PDA) using an umbrella-type occlusion device.
- Use this code when the procedure includes the necessary diagnostic angiography and pressure measurements, as these are bundled into the Z460 fee.
Common Pitfalls
- Do not bill separately for diagnostic angiography or pressure measurements, as these are explicitly included in the Z460 fee per the Schedule of Benefits.
- Avoid billing Z460 if a different device type (e.g., coil or plug) is used, as other codes within the Z448-Z461 range may be more appropriate depending on the specific intervention.
- Failure to apply the correct age-based premium (e.g., AGE_PREMIUM_UNDER_1_YEAR) is a common missed revenue opportunity for pediatric patients.
Billing Tips
- Ensure the procedure note clearly documents the use of an umbrella device to support the use of Z460 over other cardiovascular intervention codes.
- Always verify if the procedure qualifies for E409 or E410 premiums if performed on an urgent or non-elective basis outside of standard daytime hours.
Provider Fee$377.55
Surgical Assistant Fee$188.78
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, Diagnostic and Therapeutic Procedures
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