Z825 – Ventriculoscopy
OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits
Z825 is a fee code for a ventriculoscopy procedure. The fee for this service includes the creation of a burr hole. It can be performed in conjunction with other procedures, which are claimed as add-ons: - E916: with biopsy (add) - E917: with interventriculostomy (add) - E918: with removal of foreign body (add)
When to Use
- Use Z825 as the primary code for neuro-endoscopic procedures requiring a burr hole for ventricular access.
- Use Z825 when performing diagnostic or therapeutic ventriculoscopy, ensuring the burr hole creation is not billed separately as it is included in the fee.
Common Pitfalls
- Do not bill a separate burr hole code, as the creation of the burr hole is explicitly included in the Z825 fee.
- Claims for add-on codes E916, E917, or E918 will be rejected if not submitted on the same claim as the primary Z825 procedure.
Billing Tips
- Always append the appropriate add-on code (E916, E917, or E918) when performing additional interventions during the same session to maximize the claim value.
- If a surgical assistant is required, submit M400B and include a letter from the surgeon justifying the necessity to ensure authorization by a medical consultant.
Effective: April 1, 2025
X. Neurological Surgical Procedures
NEUROLOGICAL SURGICAL PROCEDURES
Surgical
Neurological Surgical Procedures
This service includes the creation of a burr hole.
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