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Billing code

Z360A — Bronchoscopy - Emergency Rigid Bronchoscopy For Obstructed Airway

Emergency rigid bronchoscopy

Bill for emergency rigid bronchoscopy to clear an obstructed airway in a life-threatening emergency when the patient isn't intubated.

Watch for: No other bronchoscopy, and no critical care code by you that day, is payable with Z360.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$474.65$0.00$0.00$0.00$0.00
Code
Z360A
Description
Bronchoscopy - Emergency Rigid Bronchoscopy For Obstructed Airway
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2025
Termination date
No end date

Explanation

Updated October 26, 2026

Emergency rigid bronchoscopy for an obstructed airway in a life-threatening emergency when the patient is not intubated.

What it covers

Z360 is an emergency rigid bronchoscopy to relieve an obstructed airway (P9). It is only for life-threatening emergencies where the patient is not intubated (P9).

It is a Z-coded independent operative procedure, marked # (premises and equipment are not part of the fee) (SP4, SP1).

Billing rules

  • Only payable in a life-threatening emergency where the patient is not intubated (P9).
  • No other bronchoscopy service is payable with Z360 (P9).
  • Life-threatening critical care and other critical care services are not payable to the same physician, same patient, same day (P9).
  • When bronchoscopy is done with laryngoscopy or oesophagoscopy, only the bronchoscopy is payable (P9).
  • Non-elective procedure: when done after hours, the E409 (+50%) or E410 (+75%) after-hours premium may apply (SP2, GP103).
  • Age premiums apply to surgical procedures for patients under 16 (GP64).

Often billed with

  • E409 or E410 after-hours premium for non-elective surgery started evenings, nights, weekends or holidays (SP2, GP103).

Common rejections

  • ADH: OHIP describes this as 'Cannot be billed together': no other bronchoscopy code, and no critical care code by the same physician that day, is payable with Z360 (P9).

Related codes: Z327, E846, E632, G521, G395

Source: Schedule of Benefits (July 1, 2026), Respiratory Surgical Procedures, Trachea and Bronchi, page P9.

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