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Z777
Z777 – Breech presentation - external cephalic version
OHIP Psychiatric Code — OBSTETRICS · Schedule of Benefits
Breech presentation - external cephalic version with or without tocolysis. This service is to be claimed in hospital after 35 weeks of gestation, and is limited to once per pregnancy.
When to Use
- Use Z777 when performing a manual external cephalic version (ECV) on a patient at or beyond 35 weeks gestation to correct a breech presentation.
- Claim this code when the procedure is performed in a hospital setting, regardless of whether tocolysis is administered during the attempt.
Common Pitfalls
- Billing Z777 more than once per pregnancy will trigger an automatic rejection, as it is strictly limited to a single claim per patient per gestation.
- Attempting to bill Z777 for procedures performed before 35 weeks gestation is a common audit error that will lead to recovery of funds.
- Failing to recognize that Z777 is a procedural code; it cannot be billed in addition to a standard consultation or assessment fee if the visit is solely for the ECV.
Billing Tips
- If the ECV is performed after hours in a non-elective, urgent clinical scenario, apply the appropriate E409 or E410 premium to the Z777 procedural fee to maximize reimbursement.
Provider Fee$60.35
Effective: April 1, 2025
Category
K. Obstetrics
Subcategory
OBSTETRICS
Service Type
Procedure
Code Classes
Obstetrics, Diagnostic and Therapeutic Procedures
Sex Restriction
Female
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