What is OHIP billing code Z827?

Z827 is "Infraorbital or supraorbital neurectomy", an OHIP Psychiatric code from the Ontario Schedule of Benefits (Physician Services).

How much does Z827 pay?

The current OHIP fee for Z827 is $158.45, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill Z827 to OHIP?

Z827 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates Z827 claims against the Schedule of Benefits rules before submission.

All codes

Z827

Z827 – Infraorbital or supraorbital neurectomy

OHIP Psychiatric Code — NEUROLOGICAL SURGICAL PROCEDURES · Schedule of Benefits

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A surgical procedure listed in the Schedule of Benefits. Payment for the surgeon (suffix A) includes the procedure itself and associated pre-operative and post-operative care. Fees for a surgical assistant (suffix B) and anaesthesiologist (suffix C) may also be applicable, calculated based on basic and time units as outlined in the General Preamble on pages and .

When to Use

Use Z827 for the surgical resection of the infraorbital or supraorbital nerve when performed as a primary procedure for intractable neuralgia.
Use this code for neurectomy procedures performed in an operating room setting where the surgical fee includes the global pre-operative and post-operative care.

Common Pitfalls

Do not bill a separate hospital admission assessment or routine follow-up visits, as these are included in the global surgical fee for Z827.
Avoid billing Z827 alongside other nerve-related procedures without clear documentation of separate, distinct surgical sites to avoid 'unbundling' rejections.
Failure to document the specific nerve branch (infraorbital vs. supraorbital) can lead to audit scrutiny regarding the necessity and extent of the procedure.

Billing Tips

If the procedure is performed on both the infraorbital and supraorbital nerves during the same operative session, ensure you apply the appropriate multiple procedure rules as outlined in the General Preamble.
Always verify if the patient meets the criteria for age-based premiums, as these are automatically calculated percentages that significantly increase the base fee of $158.45.

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Provider Fee$158.45

Surgical Assistant Fee$75.06

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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