Z515 – Oesophagoscopy
OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Oesophagoscopy is an endoscopic procedure for the visual examination of the oesophagus. This service includes the procedure with or without the collection of biopsy samples.
When to Use
- Use Z515 for a standalone visual examination of the oesophagus where the scope does not pass beyond the gastro-oesophageal junction.
- Use Z515 when performing an oesophagoscopy for biopsy collection, as the fee for the procedure inherently covers the biopsy collection.
Common Pitfalls
- Billing Z515 alongside Z292 (laryngoscopy) will trigger an automatic rejection unless you provide a written explanation confirming the laryngoscopy was specifically for suspected laryngeal disease.
- Attempting to bill Z515 in addition to a more comprehensive procedure like a gastroscopy (Z322 or Z323) is redundant and will be rejected, as the oesophagoscopy is considered part of the more extensive scope.
Billing Tips
- Always append the appropriate add-on code (e.g., E696 for dilatation or E702 for multiple biopsies) to the Z515 claim to ensure you are compensated for the additional work performed during the procedure.
- If the procedure is performed on a patient under 16 years of age, ensure the relevant age premium is applied to the base fee to maximize the procedural reimbursement.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
For procedures on the oesophagus, the following basic units for assistants and anaesthesiologists will apply except if a basic fee is listed: - S073 Cervical approach | Asst: 6 | Anae: 7 - S074 Thoracic approach | Asst: 10 | Anae: 13 - S075 Abdominal approach | Asst: 7 | Anae: 8
Z292 rendered in association with oesophagoscopy and oesophagoscopy-gastroscopy services is not eligible for payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical consultant on a manual review basis and require the submission of a written explanation.
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