Billing code
Z363A — Removal Of Thoracostomy Tube (chest Tube)
Chest tube removal
Bill for removing a chest tube (thoracostomy tube).
Watch for: Not payable for the same patient on the same day as chest tube insertion Z341.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $20.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z363A
- Description
- Removal Of Thoracostomy Tube (chest Tube)
- 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
Removal of a thoracostomy tube (chest tube). Not payable the same day as insertion (Z341).
What it covers
Z363 is removal of a thoracostomy (chest) tube (P14). Insertion of a chest tube for closed drainage is Z341 (P14).
It is a Z-coded independent operative procedure marked # (P14, SP4).
Billing rules
- Not payable for the same patient on the same day as Z341 (P14).
- As an independent operative procedure, if the major pre-operative visit was in the prior 12 months only a partial assessment (specialist) or minor assessment (GP) is payable before it that day (SP4).
- Age premiums apply to surgical procedures for patients under 16 (GP64).
Common rejections
- ADH: OHIP describes this as 'Cannot be billed together': Z363 isn't payable the same patient same day as chest tube insertion Z341 (P14).
Related codes: Z341, Z352, Z332, Z349
Source: Schedule of Benefits (July 1, 2026), Respiratory Surgical Procedures, Lungs and Pleura, page P14.
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