OHIP Billing Codes

Specialty: Rectum

Code	Description	Anes	Asst	Fee
Search a description within this chart
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
S213	Proctectomy Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection)	8	8	$1,228.70
	E718 bowel resection following previous resection with anastomosis add			$145.25
	E793 laparoscopic or laparoscopic assisted add 25%
S214	Proctectomy Abdominoperineal resection or pull through	10	8	$1,554.85
	E718 bowel resection following previous resection with anastomosis add			$145.25
	E793 laparoscopic or laparoscopic assisted add 25%
S215	Two surgeon team abdominal surgeon	10	8	$1,129.75
	E718 bowel resection following previous resection with anastomosis add			$145.25
	E793 laparoscopic or laparoscopic assisted add 25%
S216	Two surgeon team perineal surgeon	0		$468.30
S217	Hartmann procedure	9	8	$1,085.00
	E718 bowel resection following previous resection with anastomosis add			$145.25
	E793 laparoscopic or laparoscopic assisted add 25%
S218	Colon reconstruction following Hartmann procedure	8	8	$1,108.60
	E793 laparoscopic or laparoscopic assisted add 25%
S222	Presacral or transsacral proctotomy and excision of lesion	7	6	$483.90
S223	Anastomosis of rectum	6	6	$498.00
S225	Rectal prolapse excision of mucous membrane	7	6	$244.00
S226	Rectal prolapse perineal repair major	6	6	$363.65
S227	Rectal prolapse abdominal approach	8	6	$702.60
S228	Rectal prolapse insertion of Thiersh wire	6	6	$194.70
S229	Suture of rectum, traumaexternal approach	7	6	$362.60
S231	Closure of fistula rectovaginal (any repair)	7	6	$345.35
S241	Sphincterotomy(ies) under local anaesthesia	0	6	$89.95
S243	Sphincterotomy(ies) under general anaesthesia	6	6	$204.00
S247	Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation	6	6	$265.40
S248	Peter Lord procedure	6		$44.50
S249	Local excision for malignancy	7	6	$296.90
S251	Fistulainano	6	6	$217.45
S253	Low imperforate anus repair	7	7	$1,248.60
S256	Excision of scar, for stenosis	6	6	$145.25
S257	Anoplasty, for stenosis	6	6	$280.60
S258	Repair of anal sphincter	7	6	$280.60
S259	Repair of anal sphincter and anorectal ring	6	6	$363.65
S260	High imperforate anus repair (supralevator)	7	7	$1,837.20
S525	Closure of fistula rectovesical	7	6	$455.90
	E792 when performed laparoscopically add 25%
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
Z535	Sigmoidoscopy with or without anoscopy with rigid scope	4		$37.55
	E746 when performed outside hospital add			$5.95
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
Z536	Sigmoidoscopy with or without anoscopy with biopsy(ies)	4		$45.45
	E641 endoscopic placement of stent in rectum add			$139.80
	E746 when performed outside hospital add			$5.95
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
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
Z541	Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure)	6		$59.30
Z543	Anoscopy (proctoscopy)	0		$8.85
Z544	Biopsy	6		$35.60
Z545	Thrombosed haemorrhoid(s)	6		$25.75
	E542 when performed outside hospital add			$11.80
Z546	Barron ligation(s) (not to exceed 6 in any one year)	0		$35.30
Z548	Cauterization of fissure	6		$35.60
Z549	Fulguration of condylomata local anaesthetic	0		$31.55
Z550	Dilation of anal sphincter	6		$12.30
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
Z565	Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation	6		$101.60
Z566	Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year)	0		$39.90
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
Z575	Haemorrhoid injections (to a maximum of 6 per year)	0		$27.60
Z576	Injections for anal fissure	6		$36.60
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
Z592	Sigmoidoscopy with or without anoscopy with decompression of volvulus	4		$50.40
	E641 endoscopic placement of stent in rectum add			$139.80
	E746 when performed outside hospital add			$5.95
	E797 management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) add			$47.25
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
Z753	Polyps or tumours of rectum or sigmoid * electrocoagulation base under 2 cm	7		$24.75
	E688 with laser debulking add			$71.20
Z754	Polyps or tumours of rectum or sigmoid * excision base under 2 cm	6	6	$84.00
	E688 with laser debulking add			$71.20
Z755	Polyps or tumours of rectum or sigmoid * electrocoagulation base 2 to 5 cm, inclusive	6	6	$145.25
	E688 with laser debulking add			$71.20
Z756	Fecal disimpaction no anaesthetic	0		$37.55
Z757	Excision of benign anal lesion(s)	6	6	$48.10
	E542 when performed outside hospital add			$11.80
Z758	Fulguration of condylomata general anaesthetic	6	6	$99.60
Z761	Polyps or tumours of rectum or sigmoid * electrocoagulation base over 5 cm	7	6	$224.30
	E688 with laser debulking add			$71.20
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
Z784	Polyps or tumours of rectum or sigmoid * excision and suture base 2 to 5 cm, inclusive	6	6	$217.80
	E688 with laser debulking add			$71.20
Z785	Polyps or tumours of rectum or sigmoid * excision and suture base over 5 cm	7	6	$594.65
	E688 with laser debulking add			$71.20

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.