OHIP Billing Codes
Specialty: Foot And Ankle
Code | Description | Fee | ||
---|---|---|---|---|
|
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D026 | Dislocations Tarsus Tarsometatarsal closed reduction, one or more joints | $150.55 | ||
D027 | Dislocations Interphalangeal closed reduction | $58.65 | ||
E578
each additional add
|
$10.45 | |||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
D028 | Dislocations Tarsus Tarsometatarsal open reduction, one joint | $396.00 | ||
E508
each additional joint, to D028 add
|
$86.70 | |||
D029 | Dislocations Interphalangeal open reduction | $154.30 | ||
D030 | Dislocations Metatarsophalangeal closed reduction | $58.65 | ||
E579
each additional add
|
$10.45 | |||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
D032 | Dislocations Metatarsophalangeal open reduction | $166.65 | ||
D033 | Dislocations Tarsus closed reduction | $150.55 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
D034 | Dislocations Tarsus open reduction | $257.50 | ||
D035 | Dislocations Ankle closed reduction | $113.60 | ||
D036 | Dislocations Ankle open reduction | $257.50 | ||
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F056 | Fractures Phalanx no reduction rigid immobilization | $50.20 | ||
E560
each additional add
|
$12.30 | |||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F057 | Fractures Intraarticular fracture I.P. Joint closed reduction | $79.50 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F058 | Fractures Phalanx closed reduction one | $73.80 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F059 | Fractures Intraarticular fracture I.P. Joint open reduction | $147.70 | ||
F060 | Fractures Phalanx open reduction | $175.75 | ||
F061 | Fractures Metatarsus one or more | $50.20 | ||
F063 | Fractures closed reduction one or more | $100.35 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F064 | Fractures open reduction one | $181.80 | ||
F065 | Fractures open reduction two or more | $254.65 | ||
F066 | Fractures Tarsus excluding os calcis no reduction rigid immobilization | $100.05 | ||
F067 | Fractures Tarsus excluding os calcis closed reduction | $168.50 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F068 | Fractures Tarsus excluding os calcis open reduction | $242.25 | ||
F070 | Fractures Os calcis no reduction rigid immobilization | $99.30 | ||
F071 | Fractures Os calcis closed reduction | $164.70 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
F072 | Fractures open reduction with repair of both the subtalar and calcaneocuboid joints | $600.00 | ||
F074 | Fractures Ankle no reduction rigid immobilization | $69.10 | ||
F075 | Fractures Ankle closed reduction | $147.70 | ||
F076 | Fractures open reduction one malleolus | $289.50 | ||
F077 | Fractures open reduction multiple malleoli or ligaments | $534.00 | ||
F104 | Fractures Ankle fracture with tibial Plafond burst closed reduction | $247.10 | ||
F108 | Fractures Ankle fracture with tibial Plafond burst openreduction | $628.55 | ||
R201 | Sequestrectomy | $196.90 | ||
R202 | Saucerization and bone graft | $394.80 | ||
R220 | Bone | $231.95 | ||
R259 | Bone Deformity Osteotomy ulna | $303.85 | ||
R266 | Bone Tumour (foot) | $246.15 | ||
R276 | Deformity Osteotomy metatarsals and phalanx | $147.70 | ||
E596
each additional add
|
$42.55 | |||
R277 | Deformity Osteotomy midtarsal/tarsal | $247.10 | ||
R282 | Bone Exostosis (dorsal, subungual) | $102.15 | ||
R299 | Bone Phalanx | $129.70 | ||
R301 | Bone Sesamoid, one or both | $144.85 | ||
R302 | Bone Bunion/bunionette | $153.30 | ||
R304 | Forefoot Hallux Valgus e.g. Mayo, Keller | $221.50 | ||
R305 | Bone Metatarsal head Accessory navicular (scaphoid) | $159.05 | ||
R306 | Bone Tarsal bar | $234.85 | ||
R307 | Bone Calcaneal spur | $142.05 | ||
R308 | Bone Os calcis, talus | $289.65 | ||
R309 | Bone Metatarsal head | $179.00 | ||
E587
each additional add
|
$42.55 | |||
R313 | Club Foot Complex reconstruction or revision of previous club foot repair (not to include simple tendon releases) | $478.05 | ||
R321 | Bone Pseudoarthrosis/nonunion/avascular necrosis Phalanx, metacarpal | $266.00 | ||
E590
rigid external fixation pseudoarthrosis add
|
$77.65 | |||
R337 | Deformity Shortening metatarsal one | $230.05 | ||
R338 | Deformity Shortening metatarsal two or more | $278.30 | ||
R355 | Forefoot Hallux Valgus e.g. Joplin, McBride | $272.60 | ||
R360 | Forefoot Hallux Valgus Major forefoot reconstruction, must include the first MP joint and a minimum of 2 other MP joints | $468.70 | ||
R402 | Dislocations Ankle recurrent dislocation and/or subluxation | $374.85 | ||
R408 | Club Foot Posterior or medial release | $319.00 | ||
R409 | Finger | $171.40 | ||
R414 | Joint Synovectomy/capsulectomy/debridement two or more joints | $346.50 | ||
R420 | Joint Ankle synovectomy | $279.25 | ||
R425 | Joint Synovectomy/capsulectomy/debridement finger joint | $230.95 | ||
R430 | Forefoot Claw and hammer toe | $154.30 | ||
E594
each additional hammer toe add
|
$42.55 | |||
R446 | Forefoot Hallux Valgus Overlapping 5th toe | $139.10 | ||
R448 | Club Foot Posteromedial release, lateral shortening, tendon transfers and fusion | $378.65 | ||
R453 | Metatarsophalyngeal (Swansons, etc.) | $295.30 | ||
R454 | Metatarsophalyngeal (Swansons, etc.) multiple | $394.80 | ||
R456 | Metatarsophalyngeal interposition single | $147.70 | ||
E538
each additional add
|
$38.75 | |||
R466 | Wrist | $471.05 | ||
R471 | Interphalangeal | $154.90 | ||
E575
each additional add
|
$42.55 | |||
R475 | Pantalar, one stage | $795.15 | ||
R477 | Metatarsophalangeal | $308.70 | ||
R479 | Wrist removal only | $196.90 | ||
E564
revision of arthroplasty add 35%
|
||||
R493 | Ankle total replacement | $1,201.15 | ||
R500 | Removal only | $147.70 | ||
E564
revision of arthroplasty add 35%
|
||||
R503 | Ankle removal of loose body, etc. | $170.45 | ||
E539
with osteotomy of malleolus add
|
$120.20 | |||
R503 | Ankle removal of loose body, etc. | $170.45 | ||
E539
with osteotomy of malleolus add
|
$120.20 | |||
R504 | Ankle Midtarsals | $147.70 | ||
R505 | Ankle Metatarsal/phalangeal | $147.70 | ||
R506 | Excision Prepatellar bursae | $152.45 | ||
R522 | Muscle simple | $196.90 | ||
R523 | Muscle complex | $494.10 | ||
R544 | Tendons Achilles or tibialis anterior/posterior tenotomy open | $175.15 | ||
R546 | Club Foot Plantar fascia release (Steindler) | $168.50 | ||
R548 | Ligaments Extensive/multiple repair wrist | $521.75 | ||
R549 | Soft tissue Ganglion Simple or complex | $181.35 | ||
E831
use of skin grafts, or revision surgery (with or without skin grafts) add 30%
|
||||
R552 | Ankle revision of arthrodesis | $516.85 | ||
R555 | Tendons Achilles or tibialis anterior/posterior tenotomy closed | $135.35 | ||
R557 | Tendon Tenoplasty one | $228.15 | ||
E050
each additional add
|
$78.60 | |||
R560 | Tendons Tendon transfer foot and ankle Graft | $258.40 | ||
E053
each additional add
|
$96.50 | |||
R565 | Tendons Tendon transfer foot and ankle single | $258.40 | ||
E055
each additional add
|
$96.50 | |||
R572 | Tendons Tendon transfer foot and ankle Tenodesis | $264.10 | ||
R576 | Soft Tissue Excision of fascia for Dupuytrens (planter fibromatosis), one or more rays | $328.65 | ||
E831
use of skin grafts, or revision surgery (with or without skin grafts) add 30%
|
||||
R578 | Tendon Tendon repair extensor single | $167.40 | ||
E580
each additional add
|
$72.40 | |||
R579 | Tendons Tenotomy open one toe | $88.95 | ||
R581 | Tendons Tenotomy open more than one toe | $196.90 | ||
R585 | Tendon Flexor single | $313.80 | ||
E581
each additional add
|
$131.55 | |||
R587 | Muscles/tendons Quadriceps repair reconstructive | $394.80 | ||
R589 | Muscles/soft tissues Tendon repair or release biceps | $231.95 | ||
R597 | Ligaments Simple/single repair wrist | $307.65 | ||
R619 | Terminal Symes | $147.70 | ||
R620 | Metatarsal/phalanx disarticulation | $159.05 | ||
E585
each additional add
|
$48.25 | |||
R621 | Ray (single) | $221.50 | ||
R622 | Transmetatarsal/transtarsal | $240.50 | ||
R623 | Symes | $291.55 | ||
R640 | Tendons Exploration tendon sheath | $128.80 | ||
R688 | Ankle arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture and/or synovial biopsy | $408.05 | ||
E477
arthroscopy of subtalar and/or intratarsal joint(s), through separate portals add
|
$195.85 | |||
E478
pinning of osteochondral fragment add
|
$256.60 | |||
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 | |||
R689 | Excision of Os Trigonum (sole procedure) | $234.60 | ||
R694 | Ankle liner replacement | $360.35 | ||
R695 | Subtalar | $612.00 | ||
E511
additional midtarsal(s) add
|
$102.00 | |||
R696 | Midtarsal, single joint | $510.05 | ||
E512
additional midtarsal(s) add
|
$102.00 | |||
R697 | Metatarsaltarsal (fusion of one or more joints) | $306.05 | ||
R977 | Deformity Shortening metatarsal Circular external fixation without osteotomy* | $595.50 | ||
R978 | Deformity Shortening metatarsal Circular external fixation with osteotomy* | $744.10 | ||
R979 | Deformity Shortening metatarsal Circular external fixation with multiple osteotomies* | $929.60 | ||
Z219 | Muscle needle biopsy, soft tissue, per site | $31.85 | ||
Z222 | Manipulation under general anaesthetic | $24.60 | ||
Z224 | Club foot, etc. manipulation and cast/strapping with anaesthetic | $39.80 | ||
Z226 | Soft tissue or bursa, incision and drainage | $99.30 | ||
Z228 | Soft tissue open | $99.30 | ||
Z228 | Soft tissue open | $99.30 | ||
Z229 | Tendons Tenotomy closed one toe | $50.20 | ||
Z235 | Club foot, etc. manipulation and cast/strapping without anaesthetic | $19.85 | ||
E584
application of plaster cast outside hospital add
|
$11.35 | |||
Z242 | Bone open | $196.90 | ||
Z243 | Tendons Tenotomy closed more than one toe | $99.30 | ||
Z869 | Bone punch, simple | $49.45 | ||
Z870 | Bone punch, xray control | $123.15 |
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.
OHIP Billing Codes
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- Head And Neck
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- Upper Extremities
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- Fractures Of The Spine
- Anterior Spinal Decompression
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- Posterior Spinal Arthrodesis As Sole Procedure
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- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
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