OHIP Billing Codes

Specialty: Knee

Code Description Fee
D031 Dislocations Patella closed reduction with anaesthetic $99.30
D038 Dislocations Knee closed reduction $212.10
D039 Dislocations Knee open reduction $315.20
D040 Dislocations Patella closed reduction without anaesthetic $63.45
D041 Dislocations Patella open reduction early $296.40
E498 Debridement (trauma) substantial debridement of 1 or more focal flaps of unstable posttraumatic articular cartilage causing mechanical symptoms, includes when rendered for synovectomy, meniscal trimming and/or chondroplasty $305.00
F021 Fractures Osteochondral open reduction $400.30
F085 Fractures Patella no reduction $69.10
F087 Fractures Patella open reduction or excision with or without repair $281.20
N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) $261.30

The Ultimate OHIP Billing Guide

New to billing? Not sure where to start? Our Ultimate Billing Guide outlines every aspect of Ontario billing.

View the guide
R244 Hemiarthroplasty Revision total arthroplasty knee $1,197.90
R248 Hemiarthroplasty Total knee replacement with take down of fusion $854.85
R255 Dislocations Patella open reduction late $494.10
R312 Excision Patella to include fascial repair $282.10
R318 Excision Excision exostosis/cyst patella $128.80
R403 Dislocations Patella open reduction repair recurrent dislocation (includes inspection of joint) $401.30
R412 Knee with or without removal of loose body $212.10
R413 Osteochondritis dissecans with drilling and/or internal fixation $272.60
R417 Excision Debridement of joint without synovectomy $296.40
R424 Excision Synovectomy $439.30
R426 Denervation elbow $263.20
R429 Excision Baker's cyst Meniscectomy $246.15
R431 Excision Baker's cyst simple $151.50
R434 Excision Baker's cyst extensive $269.80
R441 Hemiarthroplasty Total replacement/both compartments $632.35
R442 Hemiarthroplasty Replacement Liner $360.35
R444 Joint $196.90
R482 Hemiarthroplasty single component (e.g. MacIntosh) $358.75
R483 Hemiarthroplasty double component (e.g. Marmar) $632.35
R493 Ankle total replacement $1,201.15
R496 Hemiarthroplasty Removal of hemiarthroplasty without replacement $247.10
R497 Hemiarthroplasty Removal of total arthroplasty without replacement $375.80
R501 Excision Baker's cyst Cysts of meniscus $128.80
R506 Excision Prepatellar bursae $152.45
R508 Meniscus Suturing of medial or lateral meniscus $247.10
R509 Patellar arthroplasty $246.45
R515 Dislocations Patella open reduction Congenital dislocation knee (open) $494.10
R516 Muscles/Tendons Tenotomy Release patellar retinaculum $164.70
R539 Ligaments removal of synthetics $217.75
R542 Ligaments extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch $528.25
R564 Muscles/Tendons Tenotomy open one $236.65
R566 Muscles/Tendons Tenotomy open multiple $258.40
R571 Muscles/tendons Lengthening of hamstrings Tendon or muscle transfer $313.30
R584 Muscles/Tendons Tenoplasty one $147.70
R587 Muscles/tendons Quadriceps repair reconstructive $394.80
R589 Muscles/soft tissues Tendon repair or release biceps $231.95
R599 Ligaments simple one $369.25
R625 GrittiStokes or Callander $311.40
R648 Oral vestibuloplasty with skin graft $313.30
R687 Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica $99.30
R699 Knee arthroscopy setup, nondegenerative disorders of the knee or acutely locked knee. $99.30
Z219 Muscle needle biopsy, soft tissue, per site $31.85
Z222 Manipulation under general anaesthetic $24.60
Z226 Soft tissue or bursa, incision and drainage $99.30
Z237 Muscles/Tendons Tenotomy closed one $50.20
Z238 Muscles/Tendons Tenotomy closed multiple $73.80
Z242 Bone open $196.90
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

Search all OHIP billing codes

Lookup any OHIP billing code using our searchable database. Search by billing code or keyword.

An OHIP Expert in Your Pocket

Find codes and bill premiums with a tap. Try free for 45 days, no credit card required.

Get started

Ready to Get Started?

Register for Your Free 45-Day Trial

See .

Download the Dr.Bill App

Submit Your First Claim

45 Day Free Trial Offer.