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Z537 – Biopsy - requiring general anaesthetic

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

A biopsy of the oral cavity or pharynx that requires a general anaesthetic. This service is a variant of Z501 (Biopsy). The scope includes the nasopharynx, oropharynx, and hypopharynx unless specified otherwise. The '#' prefix indicates that for services performed in a hospital or Integrated Community Health Services Centre (ICHSC), the cost of premises, equipment, supplies, and personnel is covered by the facility's funding and cannot be charged to the patient.

To include nasopharynx, oropharynx, hypopharynx except where otherwise specified.

Assistance at surgery (suffix B) is not routinely payable but may be claimed using M400B with 6 basic units. This is only eligible for payment upon authorization by a medical consultant following submission of a letter from the surgeon outlining the reason the assistant was required.

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