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Z869
Z869 – Bone - core, punch
OHIP Psychiatric Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use Z869 for a simple, non-image-guided core or punch biopsy of the skull or mandible.
- Use Z869 when the procedure is performed as a standalone diagnostic biopsy, distinct from an open surgical approach (Z242).
Common Pitfalls
- Do not bill Z869 if the procedure is performed under X-ray or fluoroscopic guidance; use Z870 instead.
- Avoid billing Z869 alongside a hospital admission assessment, unless it qualifies as the major pre-operative visit where the decision to operate was finalized.
- Do not use Z869 for open surgical bone procedures; Z242 is the correct code for open bone surgery.
Billing Tips
- Ensure the biopsy is strictly a 'punch' or 'core' procedure to justify the fee, as more extensive open procedures (Z242) carry different valuation.
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