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Z748
Z748 – Internal jugular ligation
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Ligation and/or stripping of the internal jugular vein. This service is a surgical procedure listed under Cardiovascular Surgical Procedures. The amount payable for the surgeon (suffix A) is a flat fee. The amounts for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on basic units plus time units.
When to Use
- Use Z748 for the surgical ligation or stripping of the internal jugular vein when performed as a primary procedure.
- Use this code for elective or urgent ligation of the internal jugular vein, ensuring it is not bundled into a more comprehensive neck dissection or vascular reconstruction code.
Common Pitfalls
- Billing Z748 in addition to comprehensive neck dissection codes is a common audit trigger; ensure the procedure is distinct and not an integral component of a larger surgical approach.
- Failure to document the specific surgical indication or the necessity of the ligation can lead to recovery during post-payment audits.
Billing Tips
- When performing multiple surgical procedures during the same anaesthetic, remember that the basic units for the assistant (suffix B) and anaesthesiologist (suffix C) are determined solely by the major procedure.
Provider Fee$148.60
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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