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Z722
Z722 – Biopsy(ies) - local anaesthetic
OHIP Psychiatric Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Biopsy or biopsies of the vagina, performed under local anaesthetic. This service is only eligible for payment when it is the sole procedure performed. An additional premium, E542, may be claimed when this service is performed outside of a hospital.
When to Use
- Use Z722 for a diagnostic punch or excisional biopsy of a vaginal lesion performed under local anaesthetic in an office setting.
- Select Z722 when the biopsy is the only surgical procedure performed during the encounter, as it cannot be claimed with other surgical codes.
Common Pitfalls
- Claiming Z722 alongside other surgical procedures or minor assessments will result in a rejection, as it is strictly defined as a sole-procedure code.
- Attempting to bill Z722 for vulvar biopsies is incorrect; use the appropriate vulvar-specific codes instead to avoid audit flags for site mismatch.
Billing Tips
- Always append E542 when performing this procedure in your office to capture the mandatory out-of-hospital premium.
- If you perform multiple biopsies on the same vaginal site, Z722 remains the correct code as it covers 'biopsy or biopsies' of that specific anatomical area.
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