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Z517 – Excision of first polyp (10 mm to 19 mm)

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

Excision of the first polyp measuring between 10 mm and 19 mm. Per payment rules on page , the largest polyp excised should be used to determine the appropriate fee code to claim for the first polyp from the group Z571, Z518, Z517 or Z516. Excision of polyps smaller than 3mm is not an eligible service.

Payment rule: Only one of Z571, Z518, Z517 or Z516 is eligible for payment per patient per day.

Payment rule: A maximum of 2 services of any combination of E720, E520, E519, or E518 are eligible for payment per patient per day.

Payment rule: Excision of polyps <3mm is not eligible for payment.

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

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