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Z917
Z917 – Three “Snip” punctum procedure
OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
The Three “Snip” punctum procedure (Z917) is a surgical intervention on the lacrimal tract, listed under the Incision sub-heading. It is billed on a per-punctum basis. As per the listing on page , there is a maximum of 4 services per patient. Based on the rules outlined in the General Preamble (), this limit applies on a per-day basis.
When to Use
- Use Z917 for the surgical correction of punctal stenosis or eversion when a three-snip procedure is performed to enlarge the punctal opening.
- Bill this code when performing the procedure on a single punctum; if both the upper and lower puncta are treated, bill Z917 twice with the appropriate diagnostic codes for each eye.
Common Pitfalls
- Do not bill Z917 in conjunction with Z918 (Punctum dilation) for the same punctum on the same day, as the dilation is considered an integral part of the surgical procedure.
- Avoid billing Z917 as a global fee for the entire eye; it must be submitted per-punctum, ensuring you do not exceed the maximum of four services per patient per day.
Billing Tips
- Ensure the claim clearly specifies the site (e.g., left upper, right lower) to avoid rejection when billing multiple units of Z917 for the same patient on the same date of service.
- If the procedure is performed in an office setting, confirm that the patient's clinical documentation supports the medical necessity of the surgical snip over simple dilation.
Provider Fee$65.70
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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