Z782 – Repositioning of intra-aortic balloon pump - percutaneous
OHIP Psychiatric Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service, Z782, covers the percutaneous repositioning of an intra-aortic balloon pump. It is a surgical procedure and is subject to a restriction preventing it from being billed within 24 hours of the original insertion. It is eligible for various add-on premiums, including those for after-hours services, trauma cases, and for services provided to pediatric patients.
When to Use
- Use Z782 when an existing intra-aortic balloon pump requires percutaneous adjustment to optimize hemodynamic support after the initial 24-hour post-insertion window.
- Select this code when repositioning is performed as a distinct procedure to address migration or suboptimal placement identified via imaging, provided it is not part of the initial insertion session.
Common Pitfalls
- Billing Z782 within 24 hours of the original insertion code (Z751) will result in an automatic rejection as the repositioning is considered part of the initial surgical service.
- Failure to document the specific clinical indication for the repositioning, such as documented migration on chest X-ray, increases audit risk for this service.
Billing Tips
- Ensure the procedure start time is clearly recorded to support the application of after-hours premiums like E409 or E410 if the repositioning occurs outside standard hours.
- If the patient meets trauma criteria, ensure the Injury Severity Score (ISS) is explicitly noted in the chart to justify the addition of the E420 trauma premium.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
No claim to be made for repositioning within 24 hrs of original insertion.
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