OHIP Billing Codes

Specialty: Hand And Wrist

Code	Description	Anes	Asst	Fee
Search a description within this chart
D001	Fractures Dislocations Finger closed reduction	6		$58.65
	E576 each additional add			$10.45
	E584 application of plaster cast outside hospital add			$11.35
D003	Fractures Dislocations Finger open reduction	6	6	$200.45
D004	Fractures Dislocations Metacarpal/phalangeal closed reduction	6		$58.65
	E577 each additional add			$10.45
D006	Fractures Dislocations Metacarpal/phalangeal open reduction	7	6	$185.50
D007	Fractures Carpal closed reduction	6		$130.60
D008	Fractures Carpal open reduction	7	6	$246.15
F004	Fractures Phalanx no reduction, rigid immobilization	0		$50.20
	E584 application of plaster cast outside hospital add			$11.35
F005	Fractures Phalanx closed reduction	6		$101.25
	E569 percutaneous pinning, to closed reduction fee add 50%
	E826 percutaneous pinning add 75%
F006	Fractures Intraarticular closed reduction	0		$122.15
	E503 each additional add			$27.40
	E569 percutaneous pinning, to closed reduction fee add 50%
	E584 application of plaster cast outside hospital add			$11.35
	E826 percutaneous pinning add 75%
F007	Fractures Phalanx open reduction	7	6	$304.45
	E584 application of plaster cast outside hospital add			$11.35
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F008	Fractures Metacarpal no reduction, one or more, rigid immobilization	0		$50.20
F009	Fractures Metacarpal closed reduction	6		$101.25
	E504 each additional add			$22.65
	E569 percutaneous pinning, to closed reduction fee add 50%
	E584 application of plaster cast outside hospital add			$11.35
	E826 percutaneous pinning add 75%
F010	Fractures Intraarticular open reduction	7	6	$342.55
F011	Fractures Metacarpal open reduction	7	6	$267.90
	E559 each additional add			$145.75
F012	Fractures Bennett's no reduction, rigid immobilization	0		$50.20
	E584 application of plaster cast outside hospital add			$11.35
F013	Fractures Bennett's closed reduction	6	6	$122.20
	E569 percutaneous pinning, to closed reduction fee add 50%
	E826 percutaneous pinning add 75%
F015	Fractures Bennett's open reduction	7	6	$342.55
F016	Fractures Carpus closed reduction, one or more	6		$117.40
	E569 percutaneous pinning, to closed reduction fee add 50%
	E826 percutaneous pinning add 75%
F017	Fractures Carpus open reduction, one or more	7	6	$353.10
F018	Fractures Scaphoid no reduction, rigid immobilization	0		$50.20
	E584 application of plaster cast outside hospital add			$11.35
F019	Fractures Scaphoid open reduction	7	6	$489.65
F020	Fractures Scaphoid excision	7	6	$196.90
F102	Fractures Carpus no reduction, rigid immobilization	0		$50.20
	E584 application of plaster cast outside hospital add			$11.35
N285	Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve)	7	7	$261.30
	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%
R209	Basal thumb first carpometacarpal joint	7	6	$370.35
	E564 revision of arthroplasty add 35%
R217	Phalanx/metacarpal/carpus saucerization and bone graft	7	6	$247.10
R218	Phalanx/metacarpal/carpus sequestrectomy	6	6	$147.70
R219	Phalanx/metacarpal/carpus incision and drainage	6	6	$186.60
R236	Carpal replacement	7	6	$328.50
	E564 revision of arthroplasty add 35%
R257	Bone Deformity Osteotomy phalanx terminal	6		$165.90
R258	Bone Deformity Osteotomy phalanx middle proximal or metacarpal	7	6	$197.10
	E591 each additional add			$161.85
R272	Bone Bone tumour (see General Preamble GP12)	0		$872.35
R283	Bone Phalanx/metacarpal	7	6	$196.90
R285	Bone Carpal bone (one)	7	6	$218.75
R286	Bone Radial styloid	7	6	$239.45
R316	Bone Proximal row carpectomy	7	6	$345.55
R317	Bone Dorsal exostosis (triquetrum)	6	6	$193.55
R321	Bone Pseudoarthrosis/nonunion/avascular necrosis Phalanx, metacarpal	7	6	$266.00
	E590 rigid external fixation pseudoarthrosis add			$77.65
R322	Bone Pseudoarthrosis/nonunion/avascular necrosis Scaphoid	6	6	$600.00
	E497 pseudoarthrosis/nonunion/avascular necrosis pedicled vascularized bone graft add			$537.00
	E590 rigid external fixation pseudoarthrosis add			$77.65
R345	Bone Pseudoarthrosis/nonunion/avascular necrosis Carpal bone, other than scaphoid	6	6	$266.00
	E497 pseudoarthrosis/nonunion/avascular necrosis pedicled vascularized bone graft add			$537.00
	E590 rigid external fixation pseudoarthrosis add			$77.65
R407	Joint Synovectomy of extensor or flexor tendons	6		$228.95
R409	Finger	6		$171.40
R409	Finger	6		$171.40
R409	Finger	6		$171.40
R410	Wrist	6	6	$216.75
R410	Wrist	6	6	$216.75
R410	Wrist	6	6	$216.75
R414	Joint Synovectomy/capsulectomy/debridement two or more joints	7	6	$346.50
R418	Joint Synovectomy/debridement wrist	7	6	$349.45
R425	Joint Synovectomy/capsulectomy/debridement finger joint	6	6	$230.95
R435	Hand interposition single	7	6	$259.45
	E564 revision of arthroplasty add 35%
R436	Hand interposition multiple	7	6	$468.65
	E564 revision of arthroplasty add 35%
R437	Wrist interposition	7	6	$381.50
	E564 revision of arthroplasty add 35%
R465	Fingerthumb	7	6	$327.75
R466	Wrist	6	6	$471.05
R479	Wrist removal only	6	6	$196.90
	E564 revision of arthroplasty add 35%
R485	Wrist total	6	6	$681.15
	E564 revision of arthroplasty add 35%
R489	Single joint total (arthrodesis and/or arthroplasties) maximum of 4	7	6	$296.40
	E564 revision of arthroplasty add 35%
R492	Joint Radioulnar meniscectomy	7	6	$235.75
R500	Removal only	6	6	$147.70
	E564 revision of arthroplasty add 35%
R522	Muscle simple	6	6	$196.90
R523	Muscle complex	7	6	$494.10
R534	Phalanx/metacarpal/carpus Tendon sheath	6	6	$229.50
R536	Tendon release (open) finger/palm	6		$159.65
R541	Flexor tenolysis with pulley preservation	6	6	$315.20
R548	Ligaments Extensive/multiple repair wrist	7	6	$521.75
R549	Soft tissue Ganglion Simple or complex	6	6	$181.35
	E831 use of skin grafts, or revision surgery (with or without skin grafts) add 30%
R551	Soft tissue Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps	7	6	$328.65
	E831 use of skin grafts, or revision surgery (with or without skin grafts) add 30%
	E832 excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps excision of fascia for Dupuytrens, one or more additional rays add			$279.35
R554	Tendon Silicone rod insertion one	7	6	$300.10
	E051 each additional add			$250.85
R557	Tendon Tenoplasty one	7	6	$228.15
	E050 each additional add			$78.60
R559	Tendon Tendon graft one	7	6	$312.45
	E052 each additional add			$265.05
R563	Tendon Transplant/transfer single	7	6	$290.70
	E054 each additional add			$240.85
	E056 each additional add			$93.75
R573	Tendon Mallet finger open	6	6	$150.15
R574	Tendon Mallet finger Kwire	7		$136.65
R575	Tendon Tenolysis flexor and/or extensor tendon of one digit	6	6	$197.95
	E537 each additional digit add			$168.50
R577	Tendon Boutonniere open	6	6	$150.25
R578	Tendon Tendon repair extensor single	7	6	$167.40
	E580 each additional add			$72.40
R582	Tendon Boutonniere late	7	6	$251.60
R585	Tendon Flexor single	7	6	$313.80
	E581 each additional add			$131.55
R586	Tendon Tendon graft Reconstruction of flexor tendon pulley, per finger	7		$99.30
R592	Tumours Soft tissues deep	7	6	$494.10
R597	Ligaments Simple/single repair wrist	7	6	$307.65
R601	Ligaments Metacarpal phalangeal repair	7	6	$323.10
R602	Extremities Pollicization	6	6	$608.35
R603	Extremities Digital reimplantation involving microvascular and neuro anastomosis	8	8	$1,618.10
R604	Extremities Revision of R602, R603 (see General Preamble GP12)	8	8	$1,618.10
R605	Extremities Reconstruction and plastic repair of traumatically amputated extremities (see General Preamble GP12)	8	8	$1,618.10
R606	Phalanx	6		$164.70
R608	Metacarpal or metaphalangeal joint	7		$194.00
	E583 each additional add			$96.50
R610	Trans. metacarpal 2nd to 5th ray	7		$284.95
R611	Hand all 'metacarpals	6	6	$295.30
R612	Wrist	6	6	$295.30
R629	Revision of amputated finger tip	6	6	$246.40
R637	Debridement and excision, per % of total body treated other than hand, head or neck	0		$30.25
R682	Wrist arthroscopy setup	7	6	$408.05
	E478 pinning of osteochondral fragment add			$256.60
	E479 arthroscopy of midcarpal and/or distal radioulnar joint, through separate portals add			$195.85
	E480 triangular fibrocartilage complex repair add			$357.70
	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
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
Z221	Joint needle	0		$50.20
Z222	Manipulation under general anaesthetic	6		$24.60
Z228	Soft tissue open	6		$99.30
Z230	Bone punch, xray control	6		$91.50
Z231	Tenotomy or fasciotomy (closed) Finger three or more	7		$75.20
Z247	Tenotomy or fasciotomy (closed) Finger one	6		$50.20
Z248	Tenotomy or fasciotomy (closed) Finger two	7		$73.80
Z249	Tenotomy or fasciotomy (closed) Finger three or more	6		$101.15
Z290	Aspiration/injectionhip infant	6	6	$65.25

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