Z222

Manipulation - under general anaesthetic - sole procedure (see Surgical Preamble SP5).

Fee

ComponentValue
Provider fee$134.10
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 590 / N10

Manipulation - under general anaesthetic - sole procedure (see Surgical Preamble SP5). .................................................... 134.10 6

PDF page 597 / N17

Manipulation - under general anaesthetic - sole procedure (see Surgical Preamble SP5). .................................................... 134.10 6

PDF page 627 / N47

Manipulation - under general anaesthetic (see Surgical Preamble SP5) - sole procedure. ....................................... 134.10 6

PDF page 634 / N54

Manipulation - under general anaesthetic (see Surgical Preamble SP5) - sole procedure. ....................................... 134.10 6
Passages mentioning Z222

PDF page 547 / SP5

A major or minor peripheral nerve block, major plexus block, neuraxial injection (with or without
        catheter) or intrapleural block (with or without catheter) for post-operative pain control (with a
        duration of action more than 4 hours) is eligible for payment as G224 when rendered in
        conjunction with a procedure which the physician performs on the same patient.
         [Commentary:
         For additional information, refer to the Nerve Blocks - Acute Pain Management, Nerve Blocks -
         Interventional Pain Injections or Nerve Blocks - Peripheral/Other sections of the Schedule.]
    21. If claims are being submitted in coded form, the surgeon should add the suffix A to the listed
        procedural code, the surgical assistant should add the suffix B to the listed procedural code and
        the anaesthesiologist should add the suffix C to the listed procedural code.
    22. When Z222/Z223 is claimed for a patient for whom the physician submits a claim for rendering
        another insured service on the same day, the amount payable for Z222/Z223 is reduced to nil.
    23. When a surgical procedure is attempted laparoscopically in the digestive system or the female
        genital system, but requires conversion to a laparotomy, unless otherwise specified, the
        diagnostic laparoscopic fee E860 is payable in addition to the procedural fee.
Fee master record

Master, record 7033. Record Layout PDF, page 1.

Z22220260401999999990000134100000000000000000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00001341000 / 134.1
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000957600 / 95.76
non anaesthetist00000957600 / 95.76
Explanation

AI-generated. Unreviewed.

Manipulation under general anaesthetic of the phalanx, metacarpal or carpus, listed in the hand and wrist section. Also listed in elbow and forearm, arthrotomy, and foot and ankle sections.

Watch out for

Applies as sole procedure (see Surgical Preamble SP5). Rule 22: if claimed for a patient on the same day as another insured service, the amount payable is reduced to nil.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
Preparing offline search…