Z601 – Renal biopsy, needle
OHIP Psychiatric Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Performs a needle biopsy of the kidney. This is a surgical procedure listed under the Urogenital and Urinary Surgical Procedures section. The service includes all common elements as defined in the Schedule of Benefits (see -), such as obtaining history, maintaining medical records, and arranging follow-up care. The fee for the surgeon (Z601A) is for the procedure itself. Anaesthesia services (Z601C) are billed separately and are calculated based on 6 base units plus time units.
When to Use
- Use Z601A when performing a percutaneous needle biopsy of the kidney for diagnostic purposes in a hospital setting.
- Use this code for the primary surgical procedure when tissue acquisition is the sole objective of the encounter.
Common Pitfalls
- Do not attempt to bill J069 in conjunction with Z601A, as it is a restricted code and will result in an automatic rejection.
- Failing to recognize that Z601A does not include an automatic assistant fee; billing for an assistant requires prior submission of a letter of justification to the Ministry for M400B approval.
- Incorrectly assuming the anaesthesia fee is bundled; Z601C must be billed separately using the 6 base units plus time units formula.
Billing Tips
- Ensure that if the procedure is performed on an emergency basis, you append the appropriate emergency premium codes to the anaesthesia claim (e.g., E020C) to maximize the surgical encounter value.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Urogenital and Urinary Surgical Procedures, Diagnostic and Therapeutic Procedures
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