OHIP Billing Codes

Specialty: Elbow And Forearm

Code Description Fee
D009 Dislocations Elbow joint closed reduction $86.15
D010 Dislocations Elbow joint open reduction acute $257.50
D011 Dislocations Radial head open reduction acute $196.90
D012 Dislocations Radial head closed reduction, pulled elbow $39.80
F014 Fractures Radius and ulna Monteggia no reduction, rigid immobilization $69.10
F021 Fractures Osteochondral open reduction $400.30
F022 Fractures Radius and ulna Monteggia closed reduction $147.70
F023 Fractures Radius and ulna Monteggia open reduction of ulna plus closed reduction radial head $425.00
F024 Fractures Radius and ulnar shaft no reduction, rigid immobilization $69.10
F025 Fractures Radius and ulnar shaft closed reduction $151.50

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F026 Fractures Radius and ulnar shaft open reduction $539.15
F027 Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture no reduction, rigid immobilization $69.10
F028 Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture closed reduction, under local or regional anaesthetic $111.65
F029 Fractures Epicondyle no reduction $69.10
F030 Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture open reduction $509.45
F031 Fractures Radius or ulna no reduction, rigid immobilization $82.95
F032 Fractures Radius or ulna closed reduction $120.20
F033 Fractures Radius or ulna open reduction $446.85
F034 Fractures Olecranon no reduction, rigid immobilization $128.80
F035 Fractures Olecranon closed reduction $131.60
F036 Fractures Olecranon open reduction $422.95
F037 Fractures Epicondyle closed reduction $128.80
F038 Fractures Epicondyle open reduction $218.75
F039 Fractures Transcondylar/condylar no reduction $69.10
F040 Fractures Transcondylar/condylar closed reduction $304.35
F041 Fractures Transcondylar/condylar open reduction $612.05
F045 Fractures Transcondylar/condylar closed reduction with traction $319.00
F046 Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture closed reduction, under general anaesthetic $152.35
N189 Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis $284.85
N190 Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow) $219.70
R228 Acute $308.65
R229 Saucerization and bone grafting $462.00
R231 Sequestrectomy $362.50
R259 Bone Deformity Osteotomy ulna $303.85
R261 Bone Deformity Osteotomy radius with or without ulna $589.30
R281 Ulna replacement (lower end) $302.85
R286 Bone Radial styloid $239.45
R287 Bone Radial head $222.35
R288 Implant radial head $256.60
R290 Bone Olecranon $212.10
R291 Bone Olecranon with fascial repair $315.20
R293 Tumours Bone tumours extensive with replacement $691.10
R294 Tumours Bone tumours exostosis $168.50
R295 Tumours Bone tumours simple excision $295.30
R323 Bone Pseudoarthrosis Radius or ulna $310.50
R324 Bone Deformity Osteotomy radius and/or ulna with reconstruction congenital abnormality, synostosis etc $406.10
R400 Dislocations Elbow joint repair chronic, recurrent $387.15
R421 Joint Contents Synovectomy/capsulectomy/debridement, etc. $415.45
R426 Denervation elbow $263.20
R432 Joint open $174.90
R445 Elbow, loose body, etc $203.55
R445 Elbow, loose body, etc $203.55
R466 Wrist $471.05
R473 Bone Pseudoarthrosis Radius and ulna $419.45
R476 Fascia Repair fascial defects small $147.70
R478 Fascia Repair fascial defects large with or without synthetic graft or rotation flap $296.40
R486 Complete arthroplasty replacement $929.35
R495 Fasciotomy for compartment syndrome (not including secondary closure wound) . $326.65
R499 Removal of total replacement $410.85
R510 Interposition arthroplasty $443.95
R517 Excision of foreign body $109.85
R519 Muscles and tendons simple, e.g. tennis elbow $139.10
R521 Muscles and tendons radical, e.g. muscle slide $320.90
R524 Muscles Myositis ossificans $295.30
R540 Dislocations Radial head open reduction recurrent $231.95
R548 Ligaments Extensive/multiple repair wrist $521.75
R557 Tendon Tenoplasty one $228.15
R558 Dislocations Radial head open reduction late $364.40
R563 Tendon Transplant/transfer single $290.70
R566 Muscles/Tendons Tenotomy open multiple $258.40
R578 Tendon Tendon repair extensor single $167.40
R583 Transposition/transplantation/transfer Steindler flexoplasty $351.80
R585 Tendon Flexor single $313.80
R591 Tumours Soft tissues superficial $200.00
R592 Tumours Soft tissues deep $494.10
R595 Bursae Olecranon $103.30
R597 Ligaments Simple/single repair wrist $307.65
R613 Through radius and ulna $312.45
R614 Elbow disarticulation $295.30
R643 Bone Ulna lower end $196.90
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 $408.05
R950 Bone Pseudoarthrosis Radius and ulna circular external fixation $297.25
R951 Bone Deformity Osteotomy Single level correction circular external fixation $651.25
R952 Bone Deformity Osteotomy Double level correction circular external fixation $814.15
R953 Bone Deformity Bone transport circular external fixation (less than or equal to 6 cm) $668.30
R954 Bone Deformity Bone transport circular external fixation (greater than 6 cm) $779.15
Z214 Bone open biopsy or taking of bone graft by other than operating surgeon $147.70
Z219 Muscle needle biopsy, soft tissue, per site $31.85
Z222 Manipulation under general anaesthetic $24.60
Z225 Bone needle $73.80
Z226 Soft tissue or bursa, incision and drainage $99.30
Z228 Soft tissue open $99.30
Z251 Catheter insertion $50.20
Z783 Secondary closure $99.30

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.

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