All codes
Z465
Z465 – Device closure of a single defect
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Percutaneous transluminal catheter assisted closure for Secundum atrial septal defect, which involves the closure of a single defect using a device.
When to Use
- Use Z465 specifically for the percutaneous closure of a single Secundum atrial septal defect using a device.
- Select Z465 when the procedure is performed via catheter-assisted technique, distinguishing it from open surgical repair codes.
Common Pitfalls
- Billing Z465 and Z466 for the same patient on the same day by the same physician will result in a rejection, as the Schedule limits payment to two services only when performed by two different physicians.
- Failure to apply the appropriate age premium for pediatric patients under 16 years old results in significant under-billing of the procedural fee.
Billing Tips
- Ensure the claim includes the correct age premium code if the patient is under 16, as this is a percentage-based increase applied to the base fee of $198.55.
- If the procedure is non-elective and performed after hours, verify eligibility for E409 or E410, but note that these cannot be combined with the E420 trauma premium.
Provider Fee$198.55
Effective: April 1, 2025
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.