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Z463
Z463 – Removal of Norplant
OHIP Psychiatric Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This procedure involves the surgical removal of the Norplant contraceptive implant system. This service is listed under the Gynaecology subsection of Diagnostic and Therapeutic Procedures in the Schedule of Benefits.
When to Use
- Use Z463 specifically for the surgical removal of a Norplant contraceptive implant system.
- Use this code when the removal procedure is performed as a distinct surgical service, separate from a routine office visit or consultation.
Common Pitfalls
- Do not bill Z463 in conjunction with a general office visit code (A007) unless a separate, unrelated clinical issue is addressed and documented.
- Avoid using Z463 for the removal of other contraceptive devices like IUDs, which require different procedure codes.
- Billing Z463 as a 'minor procedure' when the clinical documentation does not support the surgical nature of the removal can lead to audit scrutiny.
Billing Tips
- Ensure the procedure is clearly documented as a surgical removal to justify the fee, especially if performed in a clinic setting.
- If the removal occurs during an after-hours period as defined in the Schedule of Benefits, ensure you append the appropriate premium code (E409 or E410) to the Z463 claim.
Provider Fee$65.30
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Diagnostic and Therapeutic Procedures
Sex Restriction
Female
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