Billing code
Z912A — Myringotomy – unilateral
Eardrum incision
Bill for myringotomy on one ear, including aspiration when indicated.
Watch for: In healthy children, payable only for chronic or recurrent otitis media with effusion as listed; not payable with Z916.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $42.15 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z912A
- Description
- Myringotomy – unilateral
- 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
Myringotomy, including aspiration when indicated, one ear.
What it covers
Z912 is myringotomy, including aspiration when indicated, unilateral (Y16). Myringotomy with insertion of a ventilation tube using the operating microscope is Z914 (Y16).
Billing rules
- For an otherwise healthy child, payable only for symptomatic chronic otitis media with effusion lasting more than 3 months, or recurrent acute otitis media with effusion (Y16).
- Not payable with Z916 intratympanic injection (Y16).
- Listed surgical fees are unilateral unless stated (SP4).
- Surgical procedures on children under 16 get the age premium (10–30% by age) (GP64).
- Z codes are independent operative procedures (IOP), payable in addition to an assessment. If you made the decision to operate in the past 12 months, only a partial assessment (specialist) or minor assessment (GP) is payable before the IOP that day; if the decision is the same day, no other assessment before it is paid (GP4, SP4).
Common rejections
- ADH: OHIP describes this as 'Cannot be billed together': Z912 with Z916 intratympanic injection (Y16).
Related codes: Z914, Z916, Z906, Z907
Source: Schedule of Benefits (July 1, 2026), Aural Surgical Procedures, Middle Ear, page Y16.
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