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Z576
Z576 – Injections for anal fissure
OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Injections for anal fissure. This is a surgical procedure eligible for surgeon (A) and anaesthetist (C) services. The anaesthesia service is valued at 6 base units as per page of the Schedule ().
When to Use
- Use Z576 specifically for the injection of therapeutic agents (such as Botulinum toxin) into the internal anal sphincter for the treatment of chronic anal fissure.
- Use this code when the procedure is performed as a distinct surgical intervention, distinct from an examination under anaesthesia (EUA) or a simple incision and drainage (I&D) of an abscess.
Common Pitfalls
- Do not bill Z576 in conjunction with S247 (Excision of anal fissure) or S248 (Anal fissurectomy) for the same site, as this constitutes unbundling of a single surgical encounter.
- Avoid billing Z576 for routine office-based anorectal examinations; it is strictly a surgical procedure code requiring a formal operative setting.
Billing Tips
- Ensure the anaesthetist claims the 6 base units associated with Z576, and verify that any applicable ASA status add-ons (e.g., E022C for ASA III) are appended to the anaesthesia claim to maximize the unit value.
Provider Fee$35.90
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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