Z762 – Pancreas needle incision
OHIP Psychiatric Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Z762 is for a needle biopsy of the pancreas, categorized under Incision procedures of the Pancreas within the Digestive System surgical procedures. This service is for the surgical component only. Fees for an assistant or anaesthetist are not payable with this service.
When to Use
- Use Z762 specifically for a percutaneous or endoscopic needle biopsy of the pancreas when the primary intent is tissue sampling.
- Choose Z762 over S297 when the procedure is limited to a needle incision/biopsy rather than a more extensive excision or drainage procedure.
Common Pitfalls
- Attempting to bill an assistant fee or anaesthesia fee with Z762 will result in automatic rejection, as these services are not payable for this code.
- Billing Z762 in conjunction with other major pancreatic surgical codes may trigger a 'duplicate' or 'inclusive' service flag if the biopsy is considered part of a larger surgical approach.
Billing Tips
- Ensure you append the appropriate after-hours premium (e.g., E410) if the procedure meets the non-elective criteria and timing requirements, as this is the only way to increase the base fee of $102.10.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
All insured services must be documented in appropriate records. The medical record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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