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Z609
Z609 – Periurethral abscess
OHIP Psychiatric Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This procedure involves the surgical incision to drain a periurethral abscess. It is listed in the Schedule of Benefits under : in the Urogenital and Urinary Surgical Procedures section.
When to Use
- Use Z609 for the formal surgical incision and drainage of a confirmed periurethral abscess.
- Use this code when the procedure is performed as a distinct surgical intervention, rather than a simple office-based aspiration or minor debridement.
Common Pitfalls
- Billing Z609 in addition to a minor assessment code (A007) for the same encounter is often rejected; ensure the service is billed as a surgical procedure.
- Do not use Z609 for general urethral dilation or non-abscess related urethral procedures; ensure the clinical documentation explicitly confirms the presence of an abscess.
Billing Tips
- If the procedure is performed after hours, ensure you append the appropriate E409 or E410 premium to the Z609 claim to capture the non-elective surgical uplift.
- If the patient is a trauma case meeting the specific Injury Severity Score criteria, remember to submit the E420 trauma premium on the same claim as Z609.
Provider Fee$33.85
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
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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