Z780 – Circulatory assist device - percutaneous
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Percutaneous insertion of a circulatory assist device, for example, an intra-aortic balloon. The fee for this procedure is comprehensive and includes all aspects of the service such as cannulation, repair of the artery, and the subsequent daily care and supervision of the device. This is a surgical procedure and is eligible for surgeon and anaesthetist fees. See note on page ().
When to Use
- Use Z780 for the initial percutaneous insertion of an intra-aortic balloon pump (IABP) or similar circulatory assist device.
- Use this code for the complete service package, as it is comprehensive and covers the initial arterial access, device placement, and subsequent daily management.
Common Pitfalls
- Do not bill for daily management or supervision separately, as these services are explicitly included in the Z780 fee.
- Avoid billing for arterial repair or cannulation as separate procedures, as these are considered integral components of the Z780 service.
- Ensure the procedure is not confused with Z743; Z780 is specific to percutaneous insertion, whereas other codes may apply to open surgical placement or different device types.
Billing Tips
- Since Z780 is a surgical procedure, ensure you append the appropriate after-hours premiums (E409 or E410) if the procedure meets the non-elective criteria and timing requirements.
- If the patient meets the specific trauma criteria, apply the E420 trauma premium, ensuring the Injury Severity Score (ISS) is clearly documented in the patient's record.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
Includes cannulation, repair of artery, daily care and supervision.
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