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Billing code

Z621A — Urethral stricture dilatation – male, local anaesthetic

Male urethral dilatation, local

Bill for dilating a male urethral stricture under local anaesthetic; under general anaesthetic bill Z619.

Watch for: Not claimable for dilatation before cystoscopy unless stricture is the primary diagnosis; pays nil with Z615.

Code

Z621A

Description

Urethral stricture dilatation – male, local anaesthetic

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

Dilatation of a male urethral stricture under local anaesthetic.

What it covers

Z621 is dilatation of a urethral stricture in a male patient, under local anaesthetic (T11). The general anaesthetic version is Z619 (T11).

Billing rules

• Use when no general anaesthetic is needed; under general anaesthetic bill Z619 (T11, SP5 §19).
• No claim for dilating the male urethra before cystoscopy unless urethral stricture is the primary diagnosis (T6 preamble §3).
• Payable at nil when claimed with filiform and follower dilation Z615 (T11).
• A Z-code is an independent operative procedure: if your major pre-operative visit was in the past 12 months, only a minor assessment (family physicians) or partial assessment (specialists) is payable before it that day; if the major pre-op visit is the same day, no other assessment before it is payable (SP4 §13).

Common rejections

• A2B: OHIP describes this as 'Wrong sex for service': Z621 is listed for male patients; check the patient's sex on the claim (T11).

Related codes: Z619, Z615, Z622, S532, Z617

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Urethra, page T11.

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