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Z516 – Excision of first polyp (20 mm to 29 mm)

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

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Excision of first polyp (20 mm to 29 mm) is a surgical procedure for the removal of a colonic polyp measuring between 20 and 29 millimeters, performed via colonoscopy. According to the claims submission instructions on page of the Schedule, the fee code for the first polyp excised should be determined by the size of the largest polyp removed. This service includes the necessary anaesthesia and is subject to specific billing rules with other polyp excision codes.
The largest polyp excised should be used to determine the appropriate fee code to claim for the first polyp (Z571, Z518, Z517 or Z516).
Z571E720Z518E520Z517E519E518E685Z497Z499Z492Z493Z496Z494Z498Z495Z491Z555

Z497, Z499, Z492, Z493, Z496, Z494, Z498, Z495, Z491, and Z555 include fulguration, if performed.

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