What are the billing rules for Z774A?

Payable in addition to P001 (medical management of fetal demise at 14–20 weeks) when uterine curettage is needed for postpartum haemorrhage from retained products (K5, rule 3). Anaesthesia is listed at 6 basic units, billed with suffix C (K8). Z-codes are independent operative procedures (IOP). If the major pre-operative visit was in the previous 12 months, the only assessment payable before the IOP that day is a minor assessment (GP) or partial assessment (specialist); if the major pre-operative visit is the same day, no other assessment before the IOP is payable (SP4, §13).

< Billing codes

Billing code

Z774A — Postpartum Haemorrhage Exploration Of Vagina And Cervix, Uterine Curettage

Q: What is OHIP billing code Z774A?

Exploration of the vagina and cervix, with uterine curettage, for postpartum haemorrhage.

Q: What is Z774A often billed with?

P001 when curettage is needed for haemorrhage from retained products (K5).

Postpartum haemorrhage exploration

Bill for exploring the vagina and cervix with uterine curettage for postpartum haemorrhage.

Watch for: Payable in addition to P001 when curettage is needed for haemorrhage from retained products.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$113.65	$0.00	$0.00	$95.76	$95.76

Code: Z774A
Description: Postpartum Haemorrhage Exploration Of Vagina And Cervix, Uterine Curettage
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

Exploration of the vagina and cervix, with uterine curettage, for postpartum haemorrhage.

What it covers

Z774 covers exploration of the vagina and cervix and uterine curettage for postpartum haemorrhage (K8).

It is a # independent operative procedure: the fee does not include hospital-funded premises, equipment and staff (K1, SP4).

Billing rules

Payable in addition to P001 (medical management of fetal demise at 14–20 weeks) when uterine curettage is needed for postpartum haemorrhage from retained products (K5, rule 3).
Anaesthesia is listed at 6 basic units, billed with suffix C (K8).
Z-codes are independent operative procedures (IOP). If the major pre-operative visit was in the previous 12 months, the only assessment payable before the IOP that day is a minor assessment (GP) or partial assessment (specialist); if the major pre-operative visit is the same day, no other assessment before the IOP is payable (SP4, §13).
FHO: physicians in Income Stabilization may bill Z774A at full fee-for-service (Agreement App. J §3.6, p.99).

Often billed with

P001 when curettage is needed for haemorrhage from retained products (K5).

Related codes: P001, P029, S768, S754, P006, P020

Source: Schedule of Benefits (July 1, 2026), Obstetrics, Labour - Delivery, page K8.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing