Billing code
Z916A — Intratympanic injection – unilateral
Intratympanic injection
Bill for an intratympanic injection on one ear, with or without myringotomy.
Watch for: Myringotomy is included, so Z912 isn't payable with Z916.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $75.90 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z916A
- Description
- Intratympanic injection – 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
Intratympanic injection, with or without myringotomy, one ear.
What it covers
Z916 is intratympanic injection, with or without myringotomy, unilateral (Y16).
Billing rules
- Myringotomy is included; Z912 is not payable with Z916 (Y16).
- Listed surgical fees are unilateral unless stated (SP4).
- 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 myringotomy with Z916 (Y16).
Related codes: Z912, Z914, A244
Source: Schedule of Benefits (July 1, 2026), Aural Surgical Procedures, Middle Ear, page Y16.
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