OHIP Billing Codes

Specialty: Stomach

Code	Description	Anes	Asst	Fee
Search a description within this chart
S113	Removal of gastric band	10	7	$306.05
	E793 laparoscopic or laparoscopic assisted add 25%
S114	Sleeve gastrectomy	10	7	$836.50
	E793 laparoscopic or laparoscopic assisted add 25%
S115	Reversal of previous vertical banded gastroplasty	10	7	$836.50
	E793 laparoscopic or laparoscopic assisted add 25%
S116	Gastrotomy with removal of tumour or foreign body	7	6	$415.05
	E731 Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer add			$252.00
S117	Gastrotomy Pyloromyotomy (Ramstedt's)	10	6	$547.70
S118	Gastrostomy	7	6	$477.25
	E707 when done with another intraabdominal procedure			$72.20
S120	Gastric bypass with RouxenY anastomosis, for morbid obesity	10	7	$1,377.15
	E793 laparoscopic or laparoscopic assisted add 25%
S121	Transabdominal vagotomy after previous vagotomy	8	7	$424.85
S122	Wedge resection for ulcer	7	7	$530.45
	E708 with vagotomy add			$124.50
	E713 after previous partial gastrectomy add			$140.30
	E793 laparoscopic or laparoscopic assisted add 25%
S123	Partial or subtotal distal	8	7	$856.90
	E706 with choledochotomy add			$124.50
	E708 with vagotomy add			$124.50
	E709 with cholecystectomy add			$124.50
	E711 after previous gastroenterostomy add			$108.70
	E712 after previous vagotomy and pyloroplasty add			$113.35
	E713 after previous partial gastrectomy add			$140.30
	E793 laparoscopic or laparoscopic assisted add 25%
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S124	Vagotomy highly selective (as sole procedure without pyloroplasty or gastroenterostomy)	7	7	$513.20
S125	Partial or subtotal proximal	8	7	$918.10
	E706 with choledochotomy add			$124.50
	E708 with vagotomy add			$124.50
	E709 with cholecystectomy add			$124.50
	E711 after previous gastroenterostomy add			$108.70
	E712 after previous vagotomy and pyloroplasty add			$113.35
	E713 after previous partial gastrectomy add			$140.30
	E731 Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer add			$252.00
	E793 laparoscopic or laparoscopic assisted add 25%
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S128	Total gastrectomy with or without splenectomy	9	7	$1,259.80
	E706 with choledochotomy add			$124.50
	E709 with cholecystectomy add			$124.50
	E711 after previous gastroenterostomy add			$108.70
	E713 after previous partial gastrectomy add			$140.30
	E793 laparoscopic or laparoscopic assisted add 25%
	E847 with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material add			$76.50
S131	Vagotomy truncal or selective	7	7	$383.35
S132	Pyloroplasty	7	7	$415.05
S133	Pyloroplasty and vagotomy	7	7	$539.50
	E731 Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer add			$252.00
S134	Gastroduodenostomy or gastrojejunostomy	7	7	$415.05
	E716 either of above plus vagotomy add			$150.25
	E721 with choledochotomy add			$124.50
	E793 laparoscopic or laparoscopic assisted add 25%
S137	Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy	8	7	$692.55
	E721 with choledochotomy add			$124.50
	E731 Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer add			$252.00
S138	Closure of gastrostomy or other external fistula of stomach	7	6	$352.80
S139	Gastrorrhaphy (for perforated gastric or duodenal ulcer or wound)	7	6	$686.25
S140	Closure of gastrocolic fistula	7	7	$585.95
Z520	Change of gastrostomy tube	0		$10.85
Z526	Biopsy incisional by gastrostomy	0		$75.10
Z527	Gastroscopy may include biopsies, photography and removal of polyps less than or equal to 1 cm	4		$84.55
	E674 with snare polypectomy 1st polyp > 1 cm (maximum 1) add			$145.25
	E675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$75.00
	Z675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$166.65
Z528	Gastroscopy subsequent (within three months following previous gastroscopy)	4		$69.20
	E674 with snare polypectomy 1st polyp > 1 cm (maximum 1) add			$145.25
	E675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$75.00
	Z675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$166.65
Z532	Percutaneous endoscopic gastrostomy	7	6	$176.45
Z533	Biopsy incisional by intubation	0		$37.55
Z547	Gastroscopy with removal of foreign body	4		$101.75
	E674 with snare polypectomy 1st polyp > 1 cm (maximum 1) add			$145.25
	E675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$75.00
	Z675 with snare polypectomy each additional polyp > 1 cm (maximum 2) add			$166.65

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