OHIP Billing Codes

Specialty: Hand And Wrist

Code Description Fee
D001 Fractures Dislocations Finger closed reduction $58.65
D003 Fractures Dislocations Finger open reduction $200.45
D004 Fractures Dislocations Metacarpal/phalangeal closed reduction $58.65
D006 Fractures Dislocations Metacarpal/phalangeal open reduction $185.50
D007 Fractures Carpal closed reduction $130.60
D008 Fractures Carpal open reduction $246.15
F004 Fractures Phalanx no reduction, rigid immobilization $50.20
F005 Fractures Phalanx closed reduction $101.25
F006 Fractures Intraarticular closed reduction $122.15
F007 Fractures Phalanx open reduction $304.45

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F008 Fractures Metacarpal no reduction, one or more, rigid immobilization $50.20
F009 Fractures Metacarpal closed reduction $101.25
F010 Fractures Intraarticular open reduction $342.55
F011 Fractures Metacarpal open reduction $267.90
F012 Fractures Bennett's no reduction, rigid immobilization $50.20
F013 Fractures Bennett's closed reduction $122.20
F015 Fractures Bennett's open reduction $342.55
F016 Fractures Carpus closed reduction, one or more $117.40
F017 Fractures Carpus open reduction, one or more $353.10
F018 Fractures Scaphoid no reduction, rigid immobilization $50.20
F019 Fractures Scaphoid open reduction $489.65
F020 Fractures Scaphoid excision $196.90
F102 Fractures Carpus no reduction, rigid immobilization $50.20
N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) $261.30
R209 Basal thumb first carpometacarpal joint $370.35
R217 Phalanx/metacarpal/carpus saucerization and bone graft $247.10
R218 Phalanx/metacarpal/carpus sequestrectomy $147.70
R219 Phalanx/metacarpal/carpus incision and drainage $186.60
R236 Carpal replacement $328.50
R257 Bone Deformity Osteotomy phalanx terminal $165.90
R258 Bone Deformity Osteotomy phalanx middle proximal or metacarpal $197.10
R272 Bone Bone tumour (see General Preamble GP12) $872.35
R283 Bone Phalanx/metacarpal $196.90
R285 Bone Carpal bone (one) $218.75
R286 Bone Radial styloid $239.45
R316 Bone Proximal row carpectomy $345.55
R317 Bone Dorsal exostosis (triquetrum) $193.55
R321 Bone Pseudoarthrosis/nonunion/avascular necrosis Phalanx, metacarpal $266.00
R322 Bone Pseudoarthrosis/nonunion/avascular necrosis Scaphoid $600.00
R345 Bone Pseudoarthrosis/nonunion/avascular necrosis Carpal bone, other than scaphoid $266.00
R407 Joint Synovectomy of extensor or flexor tendons $228.95
R409 Finger $171.40
R409 Finger $171.40
R409 Finger $171.40
R410 Wrist $216.75
R410 Wrist $216.75
R410 Wrist $216.75
R414 Joint Synovectomy/capsulectomy/debridement two or more joints $346.50
R418 Joint Synovectomy/debridement wrist $349.45
R425 Joint Synovectomy/capsulectomy/debridement finger joint $230.95
R435 Hand interposition single $259.45
R436 Hand interposition multiple $468.65
R437 Wrist interposition $381.50
R465 Fingerthumb $327.75
R466 Wrist $471.05
R479 Wrist removal only $196.90
R485 Wrist total $681.15
R489 Single joint total (arthrodesis and/or arthroplasties) maximum of 4 $296.40
R492 Joint Radioulnar meniscectomy $235.75
R500 Removal only $147.70
R522 Muscle simple $196.90
R523 Muscle complex $494.10
R534 Phalanx/metacarpal/carpus Tendon sheath $229.50
R536 Tendon release (open) finger/palm $159.65
R541 Flexor tenolysis with pulley preservation $315.20
R548 Ligaments Extensive/multiple repair wrist $521.75
R549 Soft tissue Ganglion Simple or complex $181.35
R551 Soft tissue Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps $328.65
R554 Tendon Silicone rod insertion one $300.10
R557 Tendon Tenoplasty one $228.15
R559 Tendon Tendon graft one $312.45
R563 Tendon Transplant/transfer single $290.70
R573 Tendon Mallet finger open $150.15
R574 Tendon Mallet finger Kwire $136.65
R575 Tendon Tenolysis flexor and/or extensor tendon of one digit $197.95
R577 Tendon Boutonniere open $150.25
R578 Tendon Tendon repair extensor single $167.40
R582 Tendon Boutonniere late $251.60
R585 Tendon Flexor single $313.80
R586 Tendon Tendon graft Reconstruction of flexor tendon pulley, per finger $99.30
R592 Tumours Soft tissues deep $494.10
R597 Ligaments Simple/single repair wrist $307.65
R601 Ligaments Metacarpal phalangeal repair $323.10
R602 Extremities Pollicization $608.35
R603 Extremities Digital reimplantation involving microvascular and neuro anastomosis $1,618.10
R604 Extremities Revision of R602, R603 (see General Preamble GP12) $1,618.10
R605 Extremities Reconstruction and plastic repair of traumatically amputated extremities (see General Preamble GP12) $1,618.10
R606 Phalanx $164.70
R608 Metacarpal or metaphalangeal joint $194.00
R610 Trans. metacarpal 2nd to 5th ray $284.95
R611 Hand all 'metacarpals $295.30
R612 Wrist $295.30
R629 Revision of amputated finger tip $246.40
R637 Debridement and excision, per % of total body treated other than hand, head or neck $30.25
R682 Wrist arthroscopy setup $408.05
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
Z221 Joint needle $50.20
Z222 Manipulation under general anaesthetic $24.60
Z228 Soft tissue open $99.30
Z230 Bone punch, xray control $91.50
Z231 Tenotomy or fasciotomy (closed) Finger three or more $75.20
Z247 Tenotomy or fasciotomy (closed) Finger one $50.20
Z248 Tenotomy or fasciotomy (closed) Finger two $73.80
Z249 Tenotomy or fasciotomy (closed) Finger three or more $101.15
Z290 Aspiration/injectionhip infant $65.25

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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