OHIP Billing Codes

Specialty: Elbow And Forearm

Code	Description	Anes	Asst	Fee
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D009	Dislocations Elbow joint closed reduction	6		$86.15
D010	Dislocations Elbow joint open reduction acute	7	6	$257.50
D011	Dislocations Radial head open reduction acute	7	6	$196.90
D012	Dislocations Radial head closed reduction, pulled elbow	6		$39.80
F014	Fractures Radius and ulna Monteggia no reduction, rigid immobilization	0		$69.10
F021	Fractures Osteochondral open reduction	7	6	$400.30
F022	Fractures Radius and ulna Monteggia closed reduction	6		$147.70
F023	Fractures Radius and ulna Monteggia open reduction of ulna plus closed reduction radial head	7	6	$425.00
F024	Fractures Radius and ulnar shaft no reduction, rigid immobilization	0		$69.10
F025	Fractures Radius and ulnar shaft closed reduction	7	6	$151.50
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F026	Fractures Radius and ulnar shaft open reduction	7	6	$539.15
F027	Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture no reduction, rigid immobilization	0		$69.10
	E584 application of plaster cast outside hospital add			$11.35
F028	Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture closed reduction, under local or regional anaesthetic	0		$111.65
F029	Fractures Epicondyle no reduction	0		$69.10
F030	Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture open reduction	7	6	$509.45
F031	Fractures Radius or ulna no reduction, rigid immobilization	0		$82.95
	E584 application of plaster cast outside hospital add			$11.35
F032	Fractures Radius or ulna closed reduction	6	6	$120.20
F033	Fractures Radius or ulna open reduction	7	6	$446.85
F034	Fractures Olecranon no reduction, rigid immobilization	6		$128.80
F035	Fractures Olecranon closed reduction	6	6	$131.60
F036	Fractures Olecranon open reduction	7	6	$422.95
F037	Fractures Epicondyle closed reduction	6	6	$128.80
F038	Fractures Epicondyle open reduction	7	6	$218.75
F039	Fractures Transcondylar/condylar no reduction	0		$69.10
F040	Fractures Transcondylar/condylar closed reduction	6	6	$304.35
F041	Fractures Transcondylar/condylar open reduction	7	6	$612.05
F045	Fractures Transcondylar/condylar closed reduction with traction	6	6	$319.00
F046	Fractures Radius distal, e.g. Colles', Smith's, or Barton's fracture closed reduction, under general anaesthetic	6	6	$152.35
N189	Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis	7	7	$284.85
	E906 basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope add 40%
	E925 basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks add 30%
N190	Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow)	7	7	$219.70
	E906 basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope add 40%
	E925 basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks add 30%
R228	Acute	7	6	$308.65
R229	Saucerization and bone grafting	7	6	$462.00
R231	Sequestrectomy	7	6	$362.50
	E590 rigid external fixation pseudoarthrosis add			$77.65
R259	Bone Deformity Osteotomy ulna	7	6	$303.85
R261	Bone Deformity Osteotomy radius with or without ulna	6	6	$589.30
R281	Ulna replacement (lower end)	6	6	$302.85
	E564 revision of arthroplasty add 35%
R286	Bone Radial styloid	7	6	$239.45
R287	Bone Radial head	7	6	$222.35
R288	Implant radial head	6	6	$256.60
	E564 revision of arthroplasty add 35%
R290	Bone Olecranon	6	6	$212.10
R291	Bone Olecranon with fascial repair	7	6	$315.20
R293	Tumours Bone tumours extensive with replacement	6	6	$691.10
R294	Tumours Bone tumours exostosis	7	6	$168.50
R295	Tumours Bone tumours simple excision	7	6	$295.30
R323	Bone Pseudoarthrosis Radius or ulna	7	6	$310.50
	E590 rigid external fixation pseudoarthrosis add			$77.65
R324	Bone Deformity Osteotomy radius and/or ulna with reconstruction congenital abnormality, synostosis etc	6	6	$406.10
R400	Dislocations Elbow joint repair chronic, recurrent	6	6	$387.15
R421	Joint Contents Synovectomy/capsulectomy/debridement, etc.	7	6	$415.45
R426	Denervation elbow	7	6	$263.20
R432	Joint open	6	6	$174.90
R445	Elbow, loose body, etc	7	6	$203.55
R445	Elbow, loose body, etc	7	6	$203.55
R466	Wrist	6	6	$471.05
R473	Bone Pseudoarthrosis Radius and ulna	6	6	$419.45
	E590 rigid external fixation pseudoarthrosis add			$77.65
R476	Fascia Repair fascial defects small	7	6	$147.70
R478	Fascia Repair fascial defects large with or without synthetic graft or rotation flap	7	6	$296.40
R486	Complete arthroplasty replacement	8	6	$929.35
	E564 revision of arthroplasty add 35%
R495	Fasciotomy for compartment syndrome (not including secondary closure wound) .	7	6	$326.65
R499	Removal of total replacement	7	6	$410.85
	E564 revision of arthroplasty add 35%
R510	Interposition arthroplasty	7	6	$443.95
	E564 revision of arthroplasty add 35%
R517	Excision of foreign body	6		$109.85
	E550 wound care insertion of closed irrigation system during a surgical procedure for postoperative management add			$64.40
R519	Muscles and tendons simple, e.g. tennis elbow	6	6	$139.10
R521	Muscles and tendons radical, e.g. muscle slide	7	6	$320.90
R524	Muscles Myositis ossificans	7	6	$295.30
R540	Dislocations Radial head open reduction recurrent	7	6	$231.95
R548	Ligaments Extensive/multiple repair wrist	7	6	$521.75
R557	Tendon Tenoplasty one	7	6	$228.15
	E050 each additional add			$78.60
R558	Dislocations Radial head open reduction late	7	6	$364.40
R563	Tendon Transplant/transfer single	7	6	$290.70
	E054 each additional add			$240.85
	E056 each additional add			$93.75
R566	Muscles/Tendons Tenotomy open multiple	6	6	$258.40
R578	Tendon Tendon repair extensor single	7	6	$167.40
	E580 each additional add			$72.40
R583	Transposition/transplantation/transfer Steindler flexoplasty	7	6	$351.80
R585	Tendon Flexor single	7	6	$313.80
	E581 each additional add			$131.55
R591	Tumours Soft tissues superficial	6	6	$200.00
R592	Tumours Soft tissues deep	7	6	$494.10
R595	Bursae Olecranon	6	6	$103.30
R597	Ligaments Simple/single repair wrist	7	6	$307.65
R613	Through radius and ulna	7	6	$312.45
R614	Elbow disarticulation	6	6	$295.30
R643	Bone Ulna lower end	7	6	$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	7	6	$408.05
	E478 pinning of osteochondral fragment add			$256.60
	E481 osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) add			$510.05
	E482 soft tissue capsular release, for contractures, without bone procedure add			$256.60
	E483 synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect add			$333.10
R950	Bone Pseudoarthrosis Radius and ulna circular external fixation	7	6	$297.25
	E590 rigid external fixation pseudoarthrosis add			$77.65
R951	Bone Deformity Osteotomy Single level correction circular external fixation	7	6	$651.25
R952	Bone Deformity Osteotomy Double level correction circular external fixation	6	6	$814.15
R953	Bone Deformity Bone transport circular external fixation (less than or equal to 6 cm)	6	6	$668.30
R954	Bone Deformity Bone transport circular external fixation (greater than 6 cm)	7	6	$779.15
Z214	Bone open biopsy or taking of bone graft by other than operating surgeon	6	6	$147.70
Z219	Muscle needle biopsy, soft tissue, per site	0		$31.85
Z222	Manipulation under general anaesthetic	6		$24.60
Z225	Bone needle	6		$73.80
Z226	Soft tissue or bursa, incision and drainage	7		$99.30
Z228	Soft tissue open	6		$99.30
Z251	Catheter insertion	0		$50.20
Z783	Secondary closure	7		$99.30
	E550 wound care insertion of closed irrigation system during a surgical procedure for postoperative management add			$64.40

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