Z807 – Removal of Selverstone clamp
OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Removal of Selverstone clamp. This service is a surgical procedure listed under the Neurological Surgical Procedures section. The fee for the surgeon (<suffix>A</suffix>) is a flat rate, while fees for an assistant (<suffix>B</suffix>) and anaesthetist (<suffix>C</suffix>) are calculated based on basic and time units. Refer to the General Preamble for comprehensive rules on surgical, assistant, and anaesthesia service billing.
When to Use
- Use Z807 specifically for the surgical removal of a Selverstone clamp previously placed for carotid artery occlusion.
- Use this code when the procedure is performed as a distinct surgical event, separate from the initial placement or other major neurosurgical interventions.
Common Pitfalls
- Do not bill Z807 in conjunction with R792 (Carotid Endarterectomy) if the clamp removal is considered an integral part of the endarterectomy procedure itself.
- Failure to document the specific surgical nature of the clamp removal can lead to rejections if the Ministry interprets the service as a minor dressing change or simple wound care.
Billing Tips
- Ensure that if the procedure is performed non-electively during after-hours, you append the appropriate E409 or E410 premium to the surgeon's fee to maximize the claim value.
Effective: April 1, 2025
X. Neurological Surgical Procedures
NEUROLOGICAL SURGICAL PROCEDURES
Surgical
Neurological Surgical Procedures
All insured services must be documented in appropriate records to establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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