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Z813
Z813 – Needling of brain for biopsy
OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use Z813 as an add-on code when performing a brain biopsy via needle aspiration during the same operative session as a primary burr hole procedure, such as N115.
- Use Z813 when obtaining a tissue sample through an existing burr hole, provided it is billed in conjunction with the primary procedure code Z818.
Common Pitfalls
- Submitting Z813 as a standalone procedure will result in rejection, as it is strictly defined as an add-on service requiring a primary burr hole code.
- Failure to link the biopsy procedure to the primary surgical code on the same claim will trigger an audit or automatic rejection due to the 'plus' nature of the code.
Billing Tips
- Ensure that the primary procedure (e.g., N115 or Z818) is billed on the same claim as Z813 to satisfy the requirement for an associated primary burr hole service.
Provider Fee$560.85
Surgical Assistant Fee$87.57
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
X. Neurological Surgical Procedures
Subcategory
NEUROLOGICAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Neurological Surgical Procedures
plus needling of brain for biopsy
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