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Z786

Z786Aspiration/irrigation of corpora cavernosa for priapism

OHIP Psychiatric Code · Schedule of Benefits

Aspiration and irrigation of corpora cavernosa with intracavernosal vasoactive injection for priapism, with or without distal corporoglanular shunt

When to Use

  • Use Z786 for the emergency aspiration and irrigation of the corpora cavernosa to treat acute priapism.
  • Use this code when performing a distal corporoglanular shunt as part of the initial emergency management of priapism.

Common Pitfalls

  • Do not bill Z786 if a proximal shunt (S565) is performed during the same priapismic episode, as Z786 is considered inclusive to the more invasive procedure.
  • Avoid billing a full consultation or assessment on the same day as Z786 if you have already performed the major pre-operative assessment, as this violates the Independent Operative Procedure (IOP) billing rules.

Billing Tips

  • Apply the appropriate after-hours premium (E400 or E401) to Z786 if the emergency procedure is performed outside of standard business hours to maximize the claim value.
Provider Fee$250.00

Effective: April 1, 2026

Service Type

Male Genital Surgical Procedures

Code Classes

Surgery

Z786 is an Independent Operative Procedure (IOP).

Z786 is not payable if followed by S565 or another penile surgery during the same priapismic episode.

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