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Z605
Z605 – Bladder Aspiration
OHIP Psychiatric Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Z605 is for the aspiration of the bladder. It is categorized under urogenital and urinary surgical procedures.
When to Use
- Use Z605 for a suprapubic bladder aspiration performed to obtain a sterile urine sample in infants or young children when a clean-catch or catheterization is unsuccessful.
- Use Z605 for the therapeutic decompression of a distended bladder via needle aspiration when urethral catheterization is contraindicated or technically impossible.
Common Pitfalls
- Do not bill Z605 in addition to a standard urethral catheterization (e.g., G389); the Ministry considers these mutually exclusive methods of bladder access.
- Avoid billing Z605 for routine urine collection; it is a surgical procedure and requires clear clinical justification for the invasive approach in the patient record.
- Ensure you are not billing an office visit fee (e.g., A007) on the same day as Z605 unless the visit is for a separate, unrelated clinical issue.
Billing Tips
- If performed in an emergency setting after hours, ensure you append the appropriate E-code (E409 or E410) to the Z605 claim to capture the 50-75% premium, as the base fee of $12.50 is minimal.
- Always document the specific clinical rationale for choosing aspiration over standard catheterization to support the necessity of this surgical code during potential audits.
Provider Fee$12.50
Specialist Fee$0.00
Surgical Assistant Fee$0.00
Anaesthetist Fee$0.00
Non-Anaesthetist Fee$0.00
Effective: April 1, 2025
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Urogenital and Urinary Surgical Procedures
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