All codes
Z759
Z759 – Removal of failed vascular graft without arterial reconstruction
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Z759 covers the surgical removal of a failed vascular graft without arterial reconstruction. It is explicitly limited to situations where this is the sole procedure performed during the operative session. The service includes both a surgical component (suffix 'A') and an anaesthesia component (suffix 'C'). The anaesthesia service is compensated based on 6 base units plus applicable time units as defined in the Schedule of Benefits.
When to Use
- Use Z759 when the sole surgical objective is the complete removal of an infected or failed vascular graft without any attempt at replacement or bypass.
- Use this code for the excision of a graft remnant or pseudo-aneurysm sac where no arterial reconstruction is performed during the same operative session.
Common Pitfalls
- Billing Z759 in conjunction with any other vascular repair or reconstruction code will result in an automatic rejection, as it is strictly limited to 'sole procedure' status.
- Confusing Z759 with E655; use E655 only when the graft is being repaired or replaced, whereas Z759 is strictly for removal without reconstruction.
Billing Tips
- Ensure the operative report explicitly states that no arterial reconstruction was performed to justify the use of Z759 over more complex reconstruction codes.
Provider Fee$189.55
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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