OHIP Billing Codes

Specialty: Oesophagus

Code	Description	Anes	Asst	Fee
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S073	Cervical approach	7	6
S074	Thoracic approach	13	10
S075	Abdominal approach	8	7
S080	Oesophagostomy Oesophagealgastric devascularization (including splenectomy and oesophageal division/anastomosis)	0		$916.20
S081	Oesophagostomy Transoesophageal division of oesophageal varices	0		$569.25
S082	Oesophagostomy Intrathoracic oesophageal stent via laparotomy	7		$418.80
S083	Oesophagostomy Intrathoracic oesophageal stent via oesophagoscope (includes Z515)	6		$310.30
S084	Oesophagostomy Cervical other than neonatal	0		$216.60
S085	Oesophagostomy Cervical neonatal	0		$310.30
S086	Cricopharyngeal myotomy, open approach	0		$306.05
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S087	Intrathoracic diverticulum	0		$517.20
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S088	Cricopharyngeal diverticulum	0		$397.90
S089	Partial oesophageal resection and reconstruction (including intestinal transposition)	17		$1,204.25
	E644 radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy add			$211.60
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S090	Total thoracic oesophageal resection	13		$1,950.75
	E644 radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy add			$211.60
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E730 Total thoracic oesophageal resection with reconstruction add			$755.85
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S091	Oesophageal hiatus hernia abdominal or transthoracic approach with fundal plication	0		$765.10
	E742 when S091 or S092, with or without gastroplasty, is done in conjunction with cholecystectomy, and/or vagotomy with or without drainage procedures add			$221.70
	E744 with gastroplasty add			$118.15
	E793 laparoscopic or laparoscopic assisted add 25%
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S092	Oesophageal hiatus hernia recurrent	0		$724.10
	E742 when S091 or S092, with or without gastroplasty, is done in conjunction with cholecystectomy, and/or vagotomy with or without drainage procedures add			$221.70
	E744 with gastroplasty add			$118.15
	E793 laparoscopic or laparoscopic assisted add 25%
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S093	Enucleation of benign oesophageal tumour	0		$595.90
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S095	Oesophageal stricture (Thal) may include oesophageal hiatus hernia repair with or without gastroplasty	0		$689.65
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S096	Ruptured oesophagus, suture and drainage	0		$674.95
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S097	Oesophagogastrostomy for bypass (as sole procedure)	0		$620.55
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S098	Oesophageal bypass, abdomen to neck with stomach	0		$930.95
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S099	Oesophageal bypass, abdomen to neck with colon or jejunum	0		$1,289.45
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
S100	Total thoracic oesophageal myotomy (as sole procedure)	0		$753.75
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E758 with oesophageal hiatus hernia repair add			$221.70
S103	Closure of Htype tracheooesophageal fistula by cervical or thoracic approach	0		$941.60
S104	Repair of oesophageal atresia with or without tracheal fistula	0		$2,247.50
S161	Oesophageal myotomy, partial (below aortic arch)	0		$595.90
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E758 with oesophageal hiatus hernia repair add			$221.70
Z399	Oesophagoscopygastroscopy, with or without duodenoscopy elective	4		$94.35
	E629 endoscopic placement of stent in duodenum add			$139.80
	E690 with removal of foreign body(ies) add			$44.75
	E692 with laser debulking add			$71.10
	E695 laser palliation of oesophageal tumour, extensive, complete obstruction (see General Preamble GP12) add I.C
	E696 with dilatation of oesophagus add			$31.25
	E698 with pneumatic or balloon dilation add			$71.10
	E702 with multiple (3 or more) biopsies of specific lesion add			$15.40
	E703 with snare polypectomy first polyp (> 1 cm) add			$51.50
	E770 with duodenoscopy and drainage of bile after I.V. CCK stimulation add			$23.55
	E795 with brushing of oesophagus, stomach, and/or duodenum add			$47.25
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
	E798 management of complicated upper gastrointestinal bleeding by any technique in haemodynamically unstable patients with active bleeding during endoscopy add			$71.10
	E799 each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) add			$25.75
Z400	Oesophagoscopygastroscopy, with or without duodenoscopy for active bleeding	4		$127.60
	E629 endoscopic placement of stent in duodenum add			$139.80
	E690 with removal of foreign body(ies) add			$44.75
	E692 with laser debulking add			$71.10
	E695 laser palliation of oesophageal tumour, extensive, complete obstruction (see General Preamble GP12) add I.C
	E696 with dilatation of oesophagus add			$31.25
	E698 with pneumatic or balloon dilation add			$71.10
	E702 with multiple (3 or more) biopsies of specific lesion add			$15.40
	E703 with snare polypectomy first polyp (> 1 cm) add			$51.50
	E770 with duodenoscopy and drainage of bile after I.V. CCK stimulation add			$23.55
	E795 with brushing of oesophagus, stomach, and/or duodenum add			$47.25
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
	E798 management of complicated upper gastrointestinal bleeding by any technique in haemodynamically unstable patients with active bleeding during endoscopy add			$71.10
	E799 each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) add			$25.75
Z505	Cricopharyngeal myotomy, when rendered by endoscopy, or in association with a urgical procedure during the same anaesthetic	6	6	$37.95
Z515	Oesophagoscopy, with or without biopsy(ies)	4		$69.60
	E629 endoscopic placement of stent in duodenum add			$139.80
	E770 with duodenoscopy and drainage of bile after I.V. CCK stimulation add			$23.55
	E795 with brushing of oesophagus, stomach, and/or duodenum add			$47.25
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
	E798 management of complicated upper gastrointestinal bleeding by any technique in haemodynamically unstable patients with active bleeding during endoscopy add			$71.10
	E799 each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) add			$25.75
Z523	Pneumatic with rigid dilators guided over a string or wire	0		$53.95
Z525	Pneumatic as sole procedure	0		$113.10
Z529	Passive (bougie) initial session	0		$41.35
Z530	Passive (bougie) repeat session (within three months following previous dilation)	0		$27.90
Z531	Pneumatic Repeat dilations during the same admission	0		$26.95

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