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Z737
Z737 – Laser treatment of extensive pelvic disease
OHIP Psychiatric Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Laser treatment of extensive pelvic disease
When to Use
- Use for the therapeutic laser ablation or vaporization of extensive pelvic endometriosis or other widespread pelvic pathology that requires significant surgical time.
- Use when the procedure is performed as a standalone surgical intervention, ensuring it is not bundled with or performed alongside S743.
Common Pitfalls
- Billing Z737 on the same day as S743 will result in an automatic rejection, as these are mutually exclusive procedures under OHIP rules.
- Failure to document the 'extensive' nature of the disease can lead to audit recovery, as the code specifically requires the pathology to be widespread rather than focal.
Billing Tips
- Ensure the operative report explicitly describes the extent of the pelvic disease to justify the use of Z737 over less intensive procedural codes.
- If the procedure is performed after hours, remember to append the appropriate E409 or E410 premium to the Z737 fee to maximize the claim value.
Provider Fee$215.80
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
V. Female Genital Surgical Procedures
Subcategory
FEMALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Diagnostic and Therapeutic Procedures
All insured services must be documented in appropriate records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary. (:22)
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