OHIP Billing Codes

Specialty: Valves

Code	Description	Anes	Asst	Fee
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R683	Elbow arthroscopy setup, includes when rendered debridement, synovectomy, synovial biopsy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/or arthroscopic epicondylar release	7	6	$408.05
	E478 pinning of osteochondral fragment add			$256.60
	E481 osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) add			$510.05
	E482 soft tissue capsular release, for contractures, without bone procedure add			$256.60
	E483 synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect add			$333.10
R687	Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica	7	6	$99.30
	E476 removal of symptomatic loose body(ies) and/or screw add			$195.85
	E489 microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) add			$255.05
	E491 lateral release add			$164.70
	E492 for diseased synovium, anterior, posterior or complete add			$235.95
	E494 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty add			$305.00
	E495 menisectomy, partial or total, for symptomatic meniscal tear add			$245.30
	E496 repair medial or lateral meniscus, includes when rendered debridement of attachment site add			$343.40
R725	Pulmonary valvotomy and infundibular resection	28	18	$774.05
R726	Tricuspid valvotomy	20	18	$793.90
R727	Tricuspid annuloplasty	20	18	$692.45
R728	Tricuspid valve replacement	28	18	$793.05
R729	Mitral valvotomy	20	18	$731.65
R730	Mitral valvotomy restenosis	20	18	$814.85
R731	Tricuspid valvuloplasty	28	18	$786.05
R733	Mitral valvoplasty	28	18	$982.75
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R734	Mitral annuloplasty	20	18	$805.45
R735	Mitral replacement	28	18	$979.65
R736	Aortic valvotomy	20	18	$722.10
R738	Aortic valve replacement	28	18	$1,070.30
	E647 patch aortoplasty with pericardium or graft add			$270.00
	E656 aortic annuloplasty (reconstruction and enlargement of aortic annulus) add			$294.65
R772	Pulmonary valve replacement	28	18	$774.05
R773	Mitral valve reconstruction simple (includes annuloplasty)	28	18	$1,681.40
R774	Mitral valve reconstruction complex (includes annuloplasty and repair of both the anterior and posterior leaflets)	28	18	$2,099.55
R930	Mitral valve reconstruction Aortic valvoloplasty	28	18	$854.55

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