Z723 – Biopsy - general anaesthetic
OHIP Psychiatric Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Z723 is for the performance of vaginal biopsy or biopsies as a sole procedure under general anaesthesia. This service is designated with a '#' prefix, indicating that when performed in a hospital or Integrated Community Health Services Centre (ICHSC), the cost of premises, equipment, supplies, and personnel are funded by the facility. For services rendered outside of these settings, patients cannot be charged for these components as per the Integrated Community Health Services Centres Act, 2023 ().
When to Use
- Use Z723 when performing a vaginal biopsy as the only surgical procedure while the patient is under general anaesthesia.
- Choose Z723 instead of Z722 when the clinical necessity requires general anaesthesia rather than local anaesthesia for the vaginal biopsy.
Common Pitfalls
- Billing Z723 in conjunction with any other surgical procedure code will result in a rejection, as it is strictly defined as a sole procedure.
- Attempting to bill Z723 when the biopsy is performed under local anaesthesia or sedation rather than general anaesthesia is an incorrect use of this specific code.
Billing Tips
- Ensure the operative report explicitly documents the use of general anaesthesia to support the claim for Z723 over other biopsy codes.
- Apply applicable after-hours procedure premiums if the surgery meets the time-of-day criteria, as Z723 is eligible for these add-ons.
Effective: April 1, 2025
V. Female Genital Surgical Procedures
FEMALE GENITAL SURGICAL PROCEDURES
Surgical
Female Genital Surgical Procedures
Female
Biopsy(ies) - when sole procedure
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