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Z565 – Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation

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

Z565 is for a complete haemorrhoidectomy performed using cryotherapy and/or Barron ligation(s), and includes rectal dilation. Payment Rules: This procedure is only insured when the patient meets the following criteria: • a. has failed a trial of non-surgical therapy; AND • b. has Grade III or IV haemorrhoids; OR • c. has haemorrhoids with substantial concomitant skin tags. Note on '#' Prefix: This service is denoted with a '#' prefix. As per , when this service is performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital's global budget. If rendered in an Integrated Community Health Services Centre (ICHSC), these costs are funded by the ICHSC. Patients cannot be charged for these items if the service is rendered outside of a hospital or ICHSC.

S247 and Z565 are only insured when the patient has: - a. failed a trial of non-surgical therapy; - b. Grade III or IV haemorrhoids; or - c. haemorrhoids with substantial concomitant skin tags.

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