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Z905
Z905 – Local excision, polyp - hospital
OHIP Psychiatric Code — AURAL SURGICAL PROCEDURES · Schedule of Benefits
Local excision of a polyp from the external ear, performed in a hospital setting. This procedure is listed under the 'Ocular and Aural Surgical Procedures' section on page () of the Schedule of Benefits.
When to Use
- Use Z905 when performing a surgical excision of an aural polyp specifically within a hospital facility, as opposed to an office setting.
- Select Z905 for the removal of a polyp from the external ear canal or pinna when the procedure is performed under hospital-based sterile conditions.
Common Pitfalls
- Billing Z905 for procedures performed in a private office will result in rejection; use Z904 for office-based polyp excisions instead.
- Attempting to bill Z905 in conjunction with Z904 is a violation of the mutual exclusivity rule and will trigger a billing error.
Billing Tips
- Ensure the location code on your claim matches the hospital facility designation to avoid payment denials for this hospital-specific code.
Provider Fee$50.90
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
AURAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Ocular and Aural Surgical Procedures
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