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Z747

Z747Popliteal

OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

This service is for the surgical ligation of the popliteal vein. As a surgical procedure, the fee includes all common elements as described in the Schedule of Benefits (:27, :28) and specific elements for surgical services. The surgeon's fee is for the procedure itself, while fees for a surgical assistant and anaesthesiologist are calculated separately based on basic and time units. - Assistant: 6 base units (:664, :99) - Anaesthesia: 7 base units (:664, :106)

When to Use

  • Use Z747 specifically for the surgical ligation of the popliteal vein when performed as a distinct procedure.
  • Select Z747 when the procedure is non-elective, allowing for the potential application of after-hours premiums E410 or E409.

Common Pitfalls

  • Attempting to bill for a second surgical assistant without prior authorization; Z747 is not on the list for automatic second assistant payment per GP90:104.
  • Failing to document the specific start time of the procedure, which is a mandatory requirement for claiming after-hours or night premiums like E401B or E401C.

Billing Tips

  • Ensure the surgical start time is clearly recorded in the operative report to support the eligibility of E401B and E401C premiums.
Provider Fee$74.25
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures

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