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Z918
Z918 – Re-insertion of Lester Jones tube
OHIP Psychiatric Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
A manipulation procedure for the re-insertion of a Lester Jones tube, listed under the Ocular and Aural Surgical Procedures section.
When to Use
- Use Z918 specifically for the mechanical re-insertion of a dislodged Lester Jones tube into an existing conjunctivodacryocystorhinostomy (CDCR) tract.
- Select Z918 when the procedure is performed as a standalone manipulation, distinct from the initial surgical placement of the tube.
Common Pitfalls
- Billing an office visit or consultation code (e.g., A007) on the same day as Z918 will result in a rejection, as the assessment is considered bundled into the procedure fee.
- Confusing Z918 with Z917 (Lester Jones tube insertion) is a common error; Z918 is strictly for re-insertion, whereas Z917 applies to the initial placement.
Billing Tips
- Ensure the procedure is documented as a re-insertion to justify the use of Z918 over more complex surgical codes like Z917 or Z862.
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