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Z555 – Absence of signs or symptoms or risk factors, 50 years of age or older - sigmoid to descending colon

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

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A colonoscopy procedure from the sigmoid to descending colon, categorized under services for diagnosis or ongoing management. This procedure is specifically for patients 50 years of age or older who present with an absence of signs, symptoms, or risk factors. Payment for Z555 is subject to a frequency limit; it is considered an uninsured service if performed for the same patient within the 10-year period following a previous Z555.
Age

50 years of age or older

Z491Z492Z493Z494Z495Z496Z497Z498Z499E032C

Note 1: Only one of Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 is eligible for payment per patient per day.

Note 2: Time units and anaesthesia extra units listed on are eligible for payment with anaesthesia services for E032C (which covers Z491C-Z499C and Z555C).

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