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Z560
Z560 – Duodenoscopy
OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Duodenoscopy is an endoscopic procedure to examine the duodenum. This service is part of the Digestive System Surgical Procedures section. The fee for this service includes the common and specific elements of a surgical procedure as outlined in the Schedule of Benefits. Note: This service is not to be claimed if Z399 (Gastroscopy) and/or Z400 (Gastroscopy with biopsy) were performed on the same patient within the preceding 3 months. Additionally, Z292 (Laryngoscopy) rendered in association with duodenoscopy is not eligible for payment unless the service is for suspicion of disease of the larynx, requiring manual review with a written explanation.
Z292 rendered in association with duodenoscopy and small bowel push enteroscopy services is not eligible for payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx. Claims for Z292 in these circumstances are assessed by a medical consultant on a manual review basis and require the submission of a written explanation.
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