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Z587
Z587 – Hysteroscopy with resection of one or more endometrial polyps or fibroids
OHIP Psychiatric Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure involving hysteroscopy for the resection of one or more endometrial polyps, with or without an accompanying dilatation and curettage (D&C). This service is listed under the Female Genital Surgical Procedures section of the Schedule of Benefits. As per , the phrase 'with or without' means that a D&C is an optional component, and if rendered, is included in the fee for Z587.
When to Use
- Use Z587 when performing a hysteroscopic resection of one or more endometrial polyps or fibroids, regardless of whether a D&C is performed concurrently.
- Choose Z587 for diagnostic hysteroscopy that transitions to a therapeutic resection of polyps or fibroids during the same operative session.
Common Pitfalls
- Do not bill Z587 with S772 (endometrial ablation), as these are mutually exclusive and will trigger a rejection.
- Avoid billing Z587 alongside Z582, Z583, Z585, or Z586 on the same day, as the Schedule of Benefits restricts payment to only one code from this group per patient per day.
- Do not attempt to bill a separate fee for a D&C when performed with Z587, as the D&C is considered an optional, included component of the Z587 fee.
Billing Tips
- Ensure your operative report clearly documents the resection of the polyp or fibroid to justify Z587 over a purely diagnostic hysteroscopy code.
Provider Fee$206.35
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2009, this fee has increased 3.2% vs 42.6% CPI inflation
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Female Genital Surgical Procedures
Sex Restriction
Female
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