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Z713
Z713 – Biopsy, needle with drainage abscess
OHIP Psychiatric Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Performs a needle biopsy of the prostate gland which also involves the drainage of an abscess. This is a surgical procedure listed under Male Genital Surgical Procedures. The fee for an assistant at surgery (<suffix>B</suffix>) is calculated based on 6 base units plus time units. The fee for anaesthesia (<suffix>C</suffix>) is calculated based on 6 base units plus time units.
When to Use
- Use Z713 when performing a needle biopsy of the prostate that specifically includes the drainage of an abscess during the same operative session.
- Do not use Z713 for a standard prostate biopsy without abscess drainage; use the appropriate biopsy-specific code instead.
Common Pitfalls
- Billing Z713 alongside other prostate biopsy codes is considered unbundling and will lead to claim rejection.
- Failure to document the presence and drainage of the abscess in the operative report is a primary cause for audit recovery.
Billing Tips
- Ensure the anaesthesia and assistant suffixes (B and C) are correctly appended to the claim to capture the 6 base units plus time units.
Provider Fee$98.70
Surgical Assistant Fee$77.46
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
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