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Z850
Z850 – Examination of eyeball
OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Z850 is for the examination of the eyeball when performed under general anaesthesia. This service is only payable when it is the sole procedure rendered, or when performed in conjunction with other unlisted minor procedures.
When to Use
- Use Z850 when performing a comprehensive examination of the eyeball under general anaesthesia as the primary and only surgical procedure.
- Use Z850 when the examination is combined only with other unlisted minor procedures that do not have their own specific surgical billing codes.
Common Pitfalls
- Billing Z850 alongside any other separately listed surgical procedure code will result in an automatic rejection, as it is restricted to being the sole procedure.
- Attempting to claim Z850 for examinations performed under local anaesthesia or topical sedation; the code specifically requires general anaesthesia for eligibility.
Billing Tips
- Always append the age-based premium E982 if the patient is aged 0 to 15 inclusive to increase the base fee by 30%.
- Ensure the operative report clearly justifies the need for general anaesthesia, as this is a prerequisite for the validity of the Z850 claim.
Provider Fee$200.00
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
when sole procedure or with unlisted minor procedures with general anaesthesia
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