Z602 – Catheterization - office
OHIP Psychiatric Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This service is for a urinary catheterization performed in an office setting. According to the note on page , it is only eligible for payment for: - acute retention, - change of Foley catheter or suprapubic tube, or - instillation of medication. This service is not payable in addition to Z610 (Intravesical instillation for bladder cancer).
When to Use
- Use Z602 when performing an urgent catheterization for a patient presenting with acute urinary retention.
- Use Z602 for routine scheduled changes of an existing Foley catheter or suprapubic tube in the office.
- Use Z602 when performing the instillation of medication into the bladder, provided it is not for bladder cancer treatment.
Common Pitfalls
- Do not bill Z602 alongside Z610, as the Ministry explicitly prohibits concurrent billing for these procedures.
- Avoid billing Z602 for routine diagnostic catheterization or simple specimen collection, as these do not meet the three strictly defined clinical criteria.
- Ensure the procedure is performed in an office setting; billing Z602 for hospital-based procedures may result in rejection or audit.
Billing Tips
- If the procedure is performed after hours for a non-elective indication, remember to append E409 or E410 to increase the procedural fee.
- Always document the specific clinical indication (e.g., 'acute retention' or 'Foley change') in the chart to justify the use of Z602 during a potential audit.
Effective: April 1, 2025
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Procedure
Urogenital and Urinary Surgical Procedures
Catheterization is only eligible for payment for acute retention, change of Foley catheter or suprapubic tube or instillation of medication.
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