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Billing code

Z622A — Urethral dilatation – female

Female urethral dilatation

Bill for dilating the urethra of a female patient without general anaesthetic; under general anaesthetic bill Z620.

Watch for: Not claimable at the same time as cystoscopy, and pays nil with Z615.

Code

Z622A

Description

Urethral dilatation – female

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 the female urethra, without general anaesthetic.

What it covers

Z622 is dilatation of the urethra in a female patient (T11). Under general anaesthetic it is Z620 (T11).

Billing rules

• Under general anaesthetic bill Z620 instead (T11).
• No claim for dilating the female urethra at the same time as cystoscopy (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': Z622 is listed for female patients; check the patient's sex on the claim (T11).

Related codes: Z620, Z615, Z621, Z606

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

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