OHIP fee codeZ465

device closure of a single defect

CARDIOVASCULAR SURGICAL PROCEDURES · HEART AND PERICARDIUM

$198.55

What this reference tells you

Z465 identifies the Ontario insured service described as “device closure of a single defect.” The listed fee and rules are reference data; the clinical record must support the service actually performed.

Loaded billing requirements

A maximum of 2 services of either Z465 or Z466 are eligible for payment if the services are rendered by 2 different physicians, same patient same day.

Before using this code

Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.

Loaded billing requirements

Before using this code

Take the code from reference to reviewed claim.