Z751 – Repositioning of intra-aortic balloon pump - open
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Represents the open surgical procedure for repositioning an intra-aortic balloon pump. As noted on , no claim is to be made for this service if it is performed within 24 hours of the original insertion of the pump. Anaesthesia basic units are 6. Assistant services are payable on an independent consideration basis by claiming M400B with basic units equal to the anaesthesia units.
When to Use
- Use Z751 when an open surgical intervention is required to adjust the position of an existing intra-aortic balloon pump after the initial 24-hour post-insertion window.
- Select Z751 instead of Z782 when the procedure involves an open surgical approach rather than a percutaneous or non-open repositioning technique.
Common Pitfalls
- Billing Z751 within 24 hours of the original insertion code will trigger an automatic rejection per the Q3 section of the Schedule of Benefits.
- Failing to bill the assistant service as M400B with the appropriate 6 basic units will result in an underpayment for the surgical assistant.
Billing Tips
- Ensure the operative report clearly distinguishes the open surgical nature of the repositioning to justify the use of Z751 over less invasive alternatives.
- Always verify the exact time of the initial insertion to confirm the 24-hour exclusion period has elapsed before submitting the claim.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
No claim to be made for repositioning within 24 hrs of original insertion.
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