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Z823
Z823 – Implantation or revision of stimulation pack or leads (peripheral nerve, brain)
OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the implantation or revision of a stimulation pack or leads. This procedure can be applied to either a peripheral nerve or the brain. It is listed under both the Cranial () and Peripheral Nerves () subsections of Neurological Surgical Procedures. Full Title: Implantation or revision of stimulation pack or leads (peripheral nerve, brain).
When to Use
- Use Z823 for the initial surgical implantation of a peripheral nerve stimulator or deep brain stimulation (DBS) lead.
- Use Z823 for the surgical revision or replacement of existing stimulation leads or the pulse generator pack when the procedure involves surgical access to the site.
Common Pitfalls
- Do not bill Z823 for simple external programming or non-surgical adjustments of the stimulation parameters, as these are not surgical procedures.
- Avoid unbundling; Z823 is intended to cover the surgical implantation or revision as a comprehensive procedure, and billing separate codes for minor site preparation or closure will lead to rejections.
Billing Tips
- If the procedure qualifies as a non-elective surgery performed during night hours, ensure you apply the E410 premium to maximize the procedural fee.
- Always document the specific anatomical site (peripheral nerve vs. brain) in the operative report to support the selection of Z823 over other neurological procedure codes.
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