What is OHIP billing code Z816?

Z816 is "Implantation of electrode for peripheral nerve stimulation", an OHIP Psychiatric code from the Ontario Schedule of Benefits (Physician Services).

How much does Z816 pay?

The current OHIP fee for Z816 is $241.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill Z816 to OHIP?

Z816 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z816 claims against the Schedule of Benefits rules before submission.

What codes are related to Z816?

Codes related to Z816 in the Schedule of Benefits include Z823.

All codes

Z816

Z816 – Implantation of electrode for peripheral nerve stimulation

OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

Z816 is a surgical procedure for the implantation of an electrode for peripheral nerve stimulation. This fee includes any guidance, nerve stimulation, or nerve mapping performed during the service. This procedure is eligible for surgeon, assistant, and anaesthesiologist fees, with specific unit calculations for assistant and anaesthesia services.

When to Use

Use Z816 for the primary surgical implantation of a peripheral nerve stimulation electrode when the procedure is performed as a standalone service.
Use Z816 when intraoperative nerve mapping or stimulation is required to confirm lead placement, as these activities are bundled into the fee and cannot be billed separately.

Common Pitfalls

Attempting to bill separately for intraoperative guidance or nerve mapping, which are explicitly included in the Z816 fee and will result in a rejection or recovery.
Failing to document the specific nerve targeted, which can lead to audit scrutiny regarding the medical necessity of the procedure compared to other neuro-surgical interventions.
Incorrectly applying after-hours premiums (E409/E410) to elective cases; these premiums are strictly reserved for non-elective procedures or elective cases delayed by an emergency.

Billing Tips

Ensure that any applicable age-based surgical premiums are appended to the claim, as Z816 is a surgical procedure eligible for these percentage increases.
When an assistant is required, ensure the assistant's claim is submitted with the appropriate Z816 base code to trigger the correct percentage-based assistant fee calculation.

Have a specific question? Ask our billing assistant

Provider Fee$241.00

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in