Z619 – Dilatation of stricture - male, general anaesthetic
OHIP Psychiatric Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Z619 is a surgical procedure. The fee paid for the procedure when performed by the surgeon (suffix 'A') is a flat fee that is comprehensive, including necessary pre-operative and post-operative care normally rendered by the surgeon. Anaesthesia services (suffix 'C') are compensated separately based on a unit-based system, which includes basic units assigned to the procedure plus time units based on the duration of the anaesthetic. Assistant services (suffix 'B') are not eligible for payment for this procedure as per .
When to Use
- Use Z619 when performing a formal urethral dilatation for a stricture under general anaesthetic, as opposed to Z615 which is for dilatation without general anaesthetic.
- Select Z619 for patients requiring surgical management of urethral strictures where the procedure is performed in an operating room setting under GA.
Common Pitfalls
- Attempting to bill an assistant fee (suffix B) for this procedure, which is explicitly disallowed under GP85.
- Billing a consultation or subsequent visit fee for the same condition on the same day as Z619, as the surgical fee is comprehensive and covers all routine pre- and post-operative care.
- Failing to document the specific Injury Severity Score (ISS) in the medical record when claiming the E420 trauma premium.
Billing Tips
- Ensure the anaesthesiologist's time is clearly documented in the record, as anaesthesia units for Z619C are calculated based on the exact duration of attendance.
- Check for same-day restriction with Z615; if both are claimed, Z615 will be paid at nil.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records to establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For anaesthesia services, time units are calculated based on the time the anaesthesiologist is in attendance with the patient, which must be documented in the medical record.
If the trauma premium (E420) is claimed, the medical record must list the Injury Severity Score (ISS).
Anaesthesia extra units may be applicable to the anaesthesia service (Z619C) based on patient condition (e.g., age, BMI, ASA status) as listed on page .
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