What are the billing rules for Z192A?

Closing the wound with tissue adhesive (such as cyanoacrylate) pays 50% of the fee (M15). Add E542 when done outside hospital. Add E530 if inhalation general anaesthesia (other than 50% N2O/O2) is used and suture is the only procedure. Extensive debridement is E531, on an independent-consideration basis (M15). Not payable with wound or ulcer debridement codes Z080 to Z085 (M10).

What is Z192A often billed with?

E542 when done outside hospital (M15). E530 when inhalation general anaesthesia is used and suture is the sole procedure (M15). E412/E413 or E409/E410 when non-elective and done after hours (GP104).

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Billing code

Z192A — Repair Of Lacerations - More Than 15.1 Cm On Face

Q: What is OHIP billing code Z192A?

Suture repair of a facial laceration longer than 15.1 cm. Off the face it is Z191.

Long facial laceration repair

Bill for suturing a laceration longer than 15.1 cm on the face; the same length elsewhere on the body is Z191.

Watch for: Closing the wound with tissue adhesive pays only 50% of the fee, and it isn't payable with debridement codes Z080 to Z085.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$169.75	$0.00	$0.00	$111.72	$111.72

Code: Z192A
Description: Repair Of Lacerations - More Than 15.1 Cm On Face
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Suture repair of a facial laceration longer than 15.1 cm. Off the face it is Z191.

What it covers

Z192 is repair of a laceration more than 15.1 cm long on the face (M15). Lacerations of that length elsewhere are Z191 (M15).

A complex facial repair is Z187. It needs at least 20 minutes of repair time and one of: alignment of the vermilion border, eyebrow, eyelid or pinna; closure of three or more layers; or ligation of multiple bleeding vessels (M15).

Billing rules

Closing the wound with tissue adhesive (such as cyanoacrylate) pays 50% of the fee (M15).
Add E542 when done outside hospital. Add E530 if inhalation general anaesthesia (other than 50% N2O/O2) is used and suture is the only procedure. Extensive debridement is E531, on an independent-consideration basis (M15).
Not payable with wound or ulcer debridement codes Z080 to Z085 (M10).
Plastic surgery codes R150 to R154 can't be billed for any laceration repair (M16).
Removal of sutures only is a visit fee (M15).
Z codes are Independent Operative Procedures: if you did the major pre-operative visit in the past 12 months, only a minor assessment (family physician) or partial assessment (specialist) is payable before the procedure that day; if the major pre-operative visit is the same day, no other assessment before it is payable (SP4).
Non-elective surgical procedures started in the evening, on a weekend or holiday, or at night take an after-hours premium: E412 (+20%) or E413 (+40%) for an Emergency Department Physician billing H codes, or E409 (+50%) or E410 (+75%) for other physicians (GP103, GP104).
FHO: a Schedule 4 code that counts toward the office procedures special payment when done in your office for enrolled patients (Agreement p.67 §8.7, p.96).

Often billed with

E542 when done outside hospital (M15).
E530 when inhalation general anaesthesia is used and suture is the sole procedure (M15).
E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: Z191, Z190, Z177, Z154, Z187, E542, R024

Source: Schedule of Benefits (July 1, 2026), Integumentary System Surgical Procedures, Skin and Subcutaneous Tissue, page M15.

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