All codes
Z774
Z774 – Postpartum haemorrhage - exploration of vagina and cervix, uterine curettage
OHIP Psychiatric Code — OBSTETRICS · Schedule of Benefits
Postpartum haemorrhage - exploration of vagina and cervix, uterine curettage. This procedure is performed to control excessive bleeding following childbirth.
When to Use
- Use Z774 for the surgical management of postpartum hemorrhage involving manual or instrumental exploration of the uterus and curettage to remove retained products of conception.
- Use this code when the procedure is performed as a distinct surgical intervention following a delivery, rather than as part of the routine delivery process.
Common Pitfalls
- Do not bill Z774 in addition to the delivery fee (e.g., P007, P008) if the exploration is considered a routine part of the immediate postpartum care or delivery management.
- Avoid billing Z774 if the primary procedure performed is a D&C for non-obstetric reasons, as this code is strictly reserved for postpartum hemorrhage scenarios.
- Failure to document the specific findings of the exploration and the necessity of the curettage often leads to audit rejections for this procedure.
Billing Tips
- Ensure that if the procedure is performed after hours, you append the appropriate premium code (E409 or E410) to the Z774 claim to maximize the procedural fee.
- If a surgical assistant is required for the procedure, ensure they bill their service using the appropriate assistant code with the corresponding after-hours premium (E400B or E401B) if applicable.
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