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Z851

Z851Therapeutic paracentesis

OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits

A surgical procedure for the therapeutic paracentesis (incision) of the cornea. The service is not payable on the same day as E175, Z844, E186, E187, or E149. Anaesthesia services are payable with 6 base units plus time units.

When to Use

  • Use Z851 for a therapeutic corneal paracentesis performed to reduce intraocular pressure in acute angle-closure glaucoma.
  • Use Z851 when performing a diagnostic or therapeutic tap of the anterior chamber to obtain aqueous humor or relieve pressure, provided no other restricted surgical codes are billed.

Common Pitfalls

  • Billing Z851 on the same day as E175, Z844, E186, E187, or E149 will result in an automatic rejection due to the explicit billing restrictions.
  • Attempting to bill a consultation or office visit code on the same day as Z851 often triggers audit flags; ensure the visit is distinct and medically necessary if billing both.

Billing Tips

  • If the procedure is performed on a patient under 16, ensure the age-based premium is applied to the Z851 fee to maximize the claim value.
  • When anaesthesia is required, ensure the 6 base units are clearly documented alongside the time units to support the anaesthesiologist's claim.
Provider Fee$70.00
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

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