OHIP Billing Codes

Specialty: Intestines Except Rectum

Code	Description	Anes	Asst	Fee
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S149	Enterotomy Ileostomy	7	6	$480.10
	E793 laparoscopic or laparoscopic assisted add 25%
S150	Enterotomy Small intestine including excision of polyps or biopsy	7	6	$415.05
S151	Enterotomy Insertion of feeding enterostomy	7	6	$363.65
	E737 when done with another intraabdominal procedure add			$84.00
S154	Enterotomy Large intestine including excision of polyps	7	6	$415.05
S155	Enterotomy Colonoscopy with laparotomy	7	6	$395.20
S156	Enterotomy Exteriorization of intestine (Mickulicz)	6	6	$415.05
S157	Enterotomy Colostomy	7	6	$480.10
	E793 laparoscopic or laparoscopic assisted add 25%
S158	Enterotomy Cecostomy	7	6	$395.20
S160	Enterotomy Enteroenterostomy	7	6	$480.10
S162	Local excision of lesion of intestine	7	6	$539.50
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S164	Resection with anastomosis Small intestine duodenum	7	6	$1,035.55
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
S165	Resection with anastomosis Small intestine other	7	6	$756.35
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E793 laparoscopic or laparoscopic assisted add 25%
S166	Resection with anastomosis Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy)	7	7	$917.95
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E793 laparoscopic or laparoscopic assisted add 25%
S167	Resection with anastomosis Large intestine any portion	7	7	$895.60
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E793 laparoscopic or laparoscopic assisted add 25%
	E796 with mobilization of splenic flexure add			$104.45
S168	Ileostomy subtotal colectomy	7	7	$1,285.75
	E738 with continent ileostomy add			$395.20
	E793 laparoscopic or laparoscopic assisted add 25%
S169	Resection with anastomosis Total colectomy with ileorectal anastomosis	9	9	$1,340.05
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E738 with continent ileostomy add			$395.20
	E793 laparoscopic or laparoscopic assisted add 25%
	E808 neorectal pouch formation add			$153.00
S170	Ileostomy plus total colectomy plus abdominoperineal resection	10	9	$2,227.55
	E738 with continent ileostomy add			$395.20
	E793 laparoscopic or laparoscopic assisted add 25%
S171	Resection with anastomosis Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure)	8	7	$1,150.75
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E793 laparoscopic or laparoscopic assisted add 25%
	E808 neorectal pouch formation add			$153.00
S172	Resection with anastomosis Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy	10	9	$2,292.90
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
	E793 laparoscopic or laparoscopic assisted add 25%
S173	Ileostomy Twosurgeon team abdominal	10	9	$1,848.40
	E738 with continent ileostomy add			$395.20
S174	Ileostomy Twosurgeon team perineal	0		$544.55
	E738 with continent ileostomy add			$395.20
S175	Intestinal obstruction (mechanical) One stage without resection	7	6	$726.65
S176	Intestinal obstruction (mechanical) One stage with enteroenterostomy	7	6	$912.85
S177	Intestinal obstruction (mechanical) One stage with resection	7	6	$1,076.45
S178	Intestinal obstruction (mechanical) Intestinal atresia (newborn)	7	6	$1,543.15
S179	Intestinal obstruction (mechanical) Meconium ileus	7	6	$1,543.15
S180	Intestinal obstruction (mechanical) One stage with enterotomy	7	6	$841.40
S181	Revision of ileostomy or colostomy skin level	7	6	$134.40
S182	Revision of ileostomy or colostomy full thickness	7	6	$477.30
S183	Revision of ileostomy or colostomy Cecopexy or sigmoidopexy (as sole procedure)	6	6	$321.15
S184	Suture of intestine	7	6	$321.15
	E721 with choledochotomy add			$124.50
S185	Closure of colostomy or enterostomy with or without resection and/or anastomosis	7	6	$514.85
S187	Plication of small intestine for adhesions	7	6	$539.50
S188	Ileostomy Bowel resection without anastomosis (colostomy and mucous fistula)	6	6	$786.05
S189	Ileostomy Intestinal bypass for morbid obesity	10	7	$970.30
	E793 laparoscopic or laparoscopic assisted add 25%
S191	Revision of ileostomy or colostomy Complete reconstruction of continent ileostomy to include valve repair	7	6	$970.30
S192	Revision of ileostomy or colostomy Simple revision of continent ileostomy pouch	7	6	$395.20
S193	Revision of ileostomy or colostomy Revision of standard ileostomy into continent ileostomy pouch	7	6	$809.45
Z491	Follow up of incomplete polyp resection	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z492	Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms sigmoid to descending	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z493	Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z494	Hereditary (e.g. Familial adenomatous Polyposis or Hereditary NonPolyposis Colorectal Cancer) or other bowel disorders (e.g. inflammatory bowel disease) associated with increased risk of malignancy	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z495	Follow up of unsatisfactory colonoscopy	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z496	Colonoscopy For diagnosis or ongoing management Presence of signs or symptoms sigmoid to descending colon	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
Z497	Confirmatory colonoscopy sigmoid to descending colon	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
Z498	Follow up of abnormal colonoscopy sigmoid to descending colon	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z499	Absence of signs or symptoms, family history associated with an increased risk of malignancy (e.g. a first degree relative or at least two second degree relatives with colorectal cancer or a premalignant lesion) sigmoid to descending colon	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z512	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy	4		$37.55
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
Z513	Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope	0		$109.65
Z514	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy with biopsy	4		$45.45
Z538	Reduction of prolapse	6		$25.75
Z539	Dilation of gastrostomy, enterostomy, colostomy, etc.	6		$25.75
Z540	Intubation of small intestine (therapeutic or diagnostic) with or without fluoroscopy	0		$81.40
	E732 with biopsy add			$29.70
Z555	Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon	5		$53.00
	E630 endoscopic placement of stent in colon, add			$139.80
	E705 into terminal ileum add			$30.90
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E740 to splenic flexure add			$52.80
	E741 to hepatic flexure add			$31.80
	E747 to cecum add			$31.80
	E749 when rendered in private office add			$22.80
	E785 multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis add			$55.35
Z560	Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months)	4		$93.95
	E629 endoscopic placement of stent in duodenum add			$139.80
Z570	Fulguration of first polyp through colonoscope	4		$50.80
	E719 each additional polyp (maximum of 4) add			$24.75
Z571	Excision of first polyp greater than or equal to 3mm through colonoscope	4		$153.15
	E720 each additional polyp greater than or equal to 3mm (maximum of 2) add			$79.05
Z580	Sigmoidoscopy (using 60 cm. flexible endoscope)	5		$58.85
	E717 if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) add			$27.60
	E749 when rendered in private office add			$22.80
Z584	Small bowel push enteroscopy	0		$188.85
Z749	Subsequent procedure (within three months following previous endoscopic procedure)	4		$74.00
	E629 endoscopic placement of stent in duodenum add			$139.80
Z750	Resection of exteriorized intestine	7	6	$84.00
	E714 repair of enterocutaneous fistula in conjunction with bowel resection add			$84.00
Z764	Excision of obstructive tumour or stricture through colonoscopy less than 2 cm	0		$71.20
	E687 with laser debulking add			$71.20
Z765	Excision of obstructive tumour or stricture through colonoscopy 2 cm or greater	0		$134.40
	E685 total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each add			$232.25
	E687 with laser debulking add			$71.20

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