OHIP Billing Codes

Specialty: Musculoskeletal System Surgical Procedures

Category: Elbow And Forearm

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Code Description Fee

Amputation

R614 Elbow disarticulation $289.50
R613 Through radius and ulna $351.05

Arthroplasty

R486 Complete arthroplasty replacement $927.70
R288 Implant radial head $269.90
R510 Interposition arthroplasty $435.20
R499 Removal of total replacement $402.75
R281 Ulna replacement (lower end) $296.90

Arthroscopy

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 $400.00

Arthrotomy

R445 Elbow, loose body, etc $199.55

Biopsy

Z225 Bone - needle $72.35

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R432 Joint - open $171.45

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Decompression / Denervation

Z251 Catheter - insertion $49.20
R426 Denervation - elbow $258.00
N190 Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow) $215.35
R495 Fasciotomy for compartment syndrome (not including secondary closure wound) . $320.20
N189 Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis $279.25

Excision

R290 Bone - Olecranon $207.90
R291 Bone - Olecranon with fascial repair $309.00
R287 Bone - Radial head $217.95
R643 Bone - Ulna lower end $193.00
R595 Bursae - Olecranon $101.25
R421 Joint Contents - Synovectomy/capsulectomy/debridement, etc. $407.25
R524 Muscles - Myositis ossificans $289.50
R294 Tumours - Bone tumours - exostosis $165.20
R293 Tumours - Bone tumours - extensive with replacement $677.50
R295 Tumours - Bone tumours - simple excision $289.50
R591 Tumours - Soft tissues - superficial $196.05

Incision and Drainage

R228 Acute $302.55
R229 Saucerization and bone grafting $452.90
R231 Sequestrectomy $355.35
Z226 Soft tissue or bursa, incision and drainage $97.35

Reconstruction

R954 Bone - Deformity - Bone transport - circular external fixation (greater than 6 cm) $763.80
R953 Bone - Deformity - Bone transport - circular external fixation (less than or equal to 6 cm) $655.15
R952 Bone - Deformity - Osteotomy - Double level correction circular external fixation $798.10
R324 Bone - Deformity - Osteotomy - radius and/or ulna with reconstruction congenital abnormality, synostosis etc $398.10
R951 Bone - Deformity - Osteotomy - Single level correction circular external fixation $638.40
R259 Bone - Deformity - Osteotomy - ulna $433.80
R261 Bone - Deformity - Osteotomy -radius with or without ulna $841.40
R473 Bone - Pseudoarthrosis - Radius and ulna $786.65
R950 Bone - Pseudoarthrosis - Radius and ulna circular external fixation $291.40
R323 Bone - Pseudoarthrosis - Radius or ulna $582.30
R478 Fascia - Repair fascial defects - large with or without synthetic graft or rotation flap $290.55
R476 Fascia - Repair fascial defects - small $144.80
R566 Muscles/Tendons - Tenotomy - open - multiple $253.30
R556 Tenolysis - single $202.25
R583 Transposition/transplantation/transfer - Steindler flexoplasty $344.85

Reduction

D009 Dislocations - Elbow joint - closed reduction $84.45
D010 Dislocations - Elbow joint - open reduction acute $252.45
R400 Dislocations - Elbow joint - repair chronic, recurrent $379.50
D012 Dislocations - Radial head - closed reduction, pulled elbow $39.00
D011 Dislocations - Radial head - open reduction - acute $193.00
R558 Dislocations - Radial head - open reduction - late $357.20
R540 Dislocations - Radial head - open reduction - recurrent $227.40
F037 Fractures - Epicondyle - closed reduction $126.25
F029 Fractures - Epicondyle - no reduction $67.75
F038 Fractures - Epicondyle - open reduction $214.45
F035 Fractures - Olecranon - closed reduction $129.00
F034 Fractures - Olecranon - no reduction, rigid immobilization $126.25
F036 Fractures - Olecranon - open reduction $494.10
F021 Fractures - Osteochondral - open reduction $392.40
F022 Fractures - Radius and ulna Monteggia - closed reduction $144.80
F014 Fractures - Radius and ulna Monteggia - no reduction, rigid immobilization $67.75
F023 Fractures - Radius and ulna Monteggia - open reduction of ulna plus closed reduction radial head $416.65
F025 Fractures - Radius and ulnar shaft - closed reduction $148.50
F024 Fractures - Radius and ulnar shaft - no reduction, rigid immobilization $67.75
F026 Fractures - Radius and ulnar shaft - open reduction $567.15
F046 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under general anaesthetic $149.35
F028 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under local or regional anaesthetic $109.45
F027 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - no reduction, rigid immobilization $67.75
F030 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - open reduction $522.20
F032 Fractures - Radius or ulna - closed reduction $117.85
F031 Fractures - Radius or ulna - no reduction, rigid immobilization $81.30
F033 Fractures - Radius or ulna - open reduction $438.05
F040 Fractures - Transcondylar/condylar - closed reduction $298.35
F045 Fractures - Transcondylar/condylar - closed reduction with traction $312.70
F039 Fractures - Transcondylar/condylar - no reduction $67.75
F041 Fractures - Transcondylar/condylar - open reduction $983.45

Release

R521 Muscles and tendons - radical, e.g. muscle slide $314.60
R519 Muscles and tendons - simple, e.g. tennis elbow $136.35

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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