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Z848
Z848 – Removal of two embedded foreign bodies
OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the removal of two embedded foreign bodies from the cornea, performed under local anaesthetic. This service is listed under the <subcategory>CORNEA</subcategory> section of Ocular and Aural Surgical Procedures. This service is intended for cases involving exactly two foreign bodies. For cases involving a single foreign body, see Z847. For cases involving three or more foreign bodies, see Z845 which is payable on an Independent Consideration (I.C.) basis. For removal under general anaesthetic, see Z852.
When to Use
- Use Z848 when you remove exactly two embedded corneal foreign bodies during a single encounter under local anaesthetic.
- Do not use Z847 for this procedure, as Z847 is strictly reserved for the removal of a single foreign body.
- Use Z848 for two bodies; if you encounter a third or subsequent foreign body, you must bill Z845 instead, which requires an Independent Consideration (I.C.) submission.
Common Pitfalls
- Billing Z848 multiple times for the same eye in one session is an error; the code is intended to cover the removal of two bodies regardless of whether they are in the same or different eyes.
- Attempting to bill Z848 alongside Z847 for a total of three bodies will result in a rejection; you must use Z845 for any count exceeding two.
- Failure to specify the exact count of two in your clinical notes can lead to audit recovery if the Ministry questions why Z848 was used instead of Z847.
Billing Tips
- Ensure your operative note explicitly states 'two embedded corneal foreign bodies removed' to justify the use of Z848 over Z847.
- If the procedure is performed after hours in an emergency setting, ensure you append the appropriate E-series premium (e.g., E409 or E410) to maximize the procedural fee.
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