Z756 – Fecal disimpaction - no anaesthetic
OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Fecal disimpaction is a surgical procedure involving the manual removal of hardened stool from the rectum. As per the service description, this procedure must be performed without any form of anaesthesia. The fee for this service is for the procedure itself, performed by the physician. It is listed under the Manipulation sub-category for the Rectum within Digestive System Surgical Procedures.
When to Use
- Use Z756 for the manual, digital evacuation of hardened fecal matter in a patient presenting with confirmed fecal impaction where no sedation or local anaesthetic is required.
- Use this code when the clinical documentation confirms the failure of conservative management, such as laxatives or enemas, necessitating physical removal.
Common Pitfalls
- Billing Z756 in conjunction with any anaesthesia service is a direct violation; if sedation is required, you must use Z541 instead.
- Attempting to bill an additional office visit or assessment code on the same day as Z756 will often result in a rejection, as the procedure fee is intended to be comprehensive for the encounter.
- Failure to document the specific clinical findings, such as the abdominal x-ray report or the rectal exam findings confirming the impaction, leaves the claim vulnerable to recovery during an audit.
Billing Tips
- Ensure the procedure is clearly identified as non-elective if you are applying after-hours premiums like E409 or E410 to maximize the claim value.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Procedure
Digestive System Surgical Procedures
Documented severe fecal impaction refractory to conservative management as confirmed by clinical examination (e.g., abdominal x-ray or rectal exam) and symptoms.
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