Question 1

What is OHIP billing code Z538?

Accepted Answer

Z538 is "Reduction of prolapse", an OHIP Digestive System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does Z538 pay?

Accepted Answer

The current OHIP fee for Z538 is $25.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill Z538 to OHIP?

Accepted Answer

Z538 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z538 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to Z538?

Accepted Answer

Codes related to Z538 in the Schedule of Benefits include Z539.

Z538 – Reduction of prolapse

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