All codes
Z863
Z863 – Chelation of band keratopathy with EDTA - general anaesthetic
OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
Chelation of band keratopathy with EDTA performed under general anaesthetic. This is a surgical procedure listed in the Ocular and Aural Surgical Procedures section of the Schedule of Benefits.
When to Use
- Use Z863 specifically for the surgical chelation of band keratopathy using EDTA when the procedure is performed under general anaesthetic.
- Use this code for patients requiring surgical intervention for calcium deposits on the corneal surface where topical anaesthesia is insufficient or contraindicated.
Common Pitfalls
- Billing Z863 when the procedure is performed under local or topical anaesthesia, as this code is strictly defined for general anaesthetic cases.
- Failing to document the start and end times of the procedure in the patient's permanent medical record, which is a mandatory requirement for all time-based or surgical anaesthetic-related billing.
- Attempting to bill an assistant's fee for this procedure, which is explicitly excluded from payment under the Schedule of Benefits.
Billing Tips
- Ensure the anaesthesiologist's claim is linked to the surgical procedure code Z863 to facilitate correct processing of anaesthesia time units and applicable premiums.
- Verify the patient's age and ASA status to correctly apply eligible add-on premiums like E019C or E022C to the anaesthesiologist's claim.
Provider Fee$150.00
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 billing for services based upon the number of 'units' of service rendered (e.g., anaesthesia time units), the physician must record the start and end times of the insured service in the patient's permanent medical record or chart.
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