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Z549

Z549Fulguration of condylomata - local anaesthetic

OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Fulguration of condylomata, performed under local anaesthetic. This service is a surgical procedure for the destruction of warts in the anal region. It is distinct from Z758, which is for the same procedure performed under general anaesthetic.

When to Use

  • Use Z549 for the destruction of anal condylomata when the procedure is performed in an office or clinic setting using only local infiltration or topical anaesthetic.
  • Select Z549 when the patient is awake and the procedure does not require the involvement of an anaesthesiologist or the use of general anaesthesia.

Common Pitfalls

  • Billing an assessment code (e.g., A007) on the same day as Z549 is a common rejection, as the assessment is considered included in the surgical fee.
  • Confusing Z549 with Z758; Z758 is reserved for procedures requiring general anaesthesia and carries a different fee structure.

Billing Tips

  • Ensure you apply the appropriate age-based premium if the patient is under 16, as Z549 is eligible for the surgical procedure age-based increases under the Schedule of Benefits.
Provider Fee$30.95

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

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