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Z498 – Follow up of abnormal colonoscopy - sigmoid to descending colon

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Follow up of abnormal colonoscopy - sigmoid to descending colon. Payment rules: • Z498 is eligible for payment for a colonoscopy rendered for the follow-up of a patient with a previous malignancy(ies) in accordance with current Ontario generally accepted post-polypectomy surveillance clinical practice guidelines. - Z498 is eligible for payment when rendered for follow up of polyps in accordance with current Ontario generally accepted post-polypectomy surveillance clinical practice guidelines. - Only one of Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 is eligible for payment per patient per day. - Z580 is not eligible for payment with Z498 same patient same day. Effective July 1, 2026, this listing was changed to align with updated ColonCancerCheck recommendations (INFOBulletin 260702); claims system updates were completed in August 2026 (INFOBulletin 260801).

Only one of Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 is eligible for payment per patient per day.

Anaesthesia extra units listed on are eligible for payment with E032C.

E003C is not payable for anaesthesia services rendered for Z498.

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