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Z712

Z712Prostate biopsy, needle

OHIP Psychiatric Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

Z712 represents a needle biopsy of the prostate. It is categorized under Incision procedures for the prostate within the Male Genital Surgical Procedures section of the Schedule.

When to Use

  • Use Z712 for a standard transrectal or transperineal needle biopsy of the prostate performed for diagnostic purposes.
  • Use Z712 when performing a targeted biopsy of a suspicious lesion identified on MRI or ultrasound.

Common Pitfalls

  • Do not bill Z712 in conjunction with a cystoscopy or other transurethral procedures unless a distinct, separate surgical incision or approach is utilized, as these are often considered inclusive.
  • Avoid billing Z712 for a simple fine-needle aspiration (FNA) if the procedure does not involve a core needle biopsy, as the code specifically mandates a needle biopsy procedure.

Billing Tips

  • Ensure the pathology report clearly documents the number of cores taken, as this supports the procedural necessity of the Z712 claim during potential audits.
Provider Fee$91.60
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Category

U. Male Genital Surgical Procedures

Subcategory

MALE GENITAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Male Genital Surgical Procedures

Sex Restriction

Male

The preamble for the PROSTATE section states: 'A transurethral resection followed within 10 days by a bilateral orchidectomy because of carcinoma of the prostate should be claimed in accordance with paragraph (3) of the Surgical Preamble ().'

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