OHIP Billing Codes

Specialty: Pelvis And Hip

Code	Description	Anes	Asst	Fee
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D042	Dislocations Hip closed reduction	6		$273.65
D043	Dislocations Hip open reduction	7	7	$414.60
D046	Dislocations Acetabulum open reduction one pillar	10	6	$987.35
D047	Dislocations Acetabulum open reduction two pillars	12	8	$1,480.60
D052	Dislocations Acetabulum open reduction lips	8	7	$624.75
D059	Dislocations Sacroiliac closed, traction, spica, etc	6		$437.10
D060	Dislocations Sacroiliac open reduction	6	6	$604.90
D061	Dislocations Sacrococcygeal open, removal of coccyx	6	6	$196.90
F098	Fractures Femoral neck trochanteric, subtrochanteric closed reduction/traction	6	6	$435.50
F099	Fractures Femoral neck trochanteric, subtrochanteric open reduction pin only	8	6	$416.50
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F100	Fractures Femoral neck trochanteric, subtrochanteric open reduction pin and plate/screws (cannulated included)	10	6	$626.90
F101	Fractures Femoral neck trochanteric, subtrochanteric open reduction primaryprosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar)	10	6	$625.95
F115	Bone Coccyx	6	6	$213.00
F115	Bone Coccyx	6	6	$213.00
F134	Fractures Pelvic ring closed reduction	6	6	$451.35
F135	Fractures Pelvic ring open reduction	8	6	$693.95
N177	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition Sciatic nerve in buttock	7	7	$439.40
	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%
N188	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition minor nerve including digital, cutaneous or lateral femoral cutaneous nerve	7	6	$156.80
	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%
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%
R216	Bone Radical resection tumour	8	8	$1,027.60
R241	Revision total arthroplasty hip one or both components acetabular or femoral	15	9	$1,331.05
	E589 acetabular or femoral bone graft to acetabulum add			$103.30
	E593 acetabular reconstruction (extensive, including bone grafts) add			$197.90
R249	Sequestrectomy	7	6	$387.15
R250	Saucerization and bone graft	6	6	$639.90
R263	Hip	7	6	$550.00
R265	Osteotomy Pelvis infant	8	8	$407.00
R269	Bone	7	6	$296.40
R273	Osteotomy Pelvis other	8	8	$592.60
R315	Bone Head and neck, femur	6	6	$462.00
R328	Pseudoarthrosis Hip	6	6	$487.50
	E048 intramedullary nail with distal and proximal locking screws femur add			$110.95
	E590 rigid external fixation pseudoarthrosis add			$77.65
	E590 rigid external fixation pseudoarthrosis add			$77.65
R330	Bone Major resection tumour	7	6	$642.30
R364	Pseudoarthrosis Pelvis	10	8	$592.60
	E590 rigid external fixation pseudoarthrosis add			$77.65
R404	Dislocations Congenital hip closed reduction (includes tenotomy and cast)	7		$194.00
R405	Dislocations Congenital hip repeat (includes cast)	6		$134.45
R406	Dislocations Congenital hip open reduction (includes tenotomy and arthrotomy)	7	7	$481.85
R415	Hip with removal of loose body	7	6	$307.65
R415	Hip with removal of loose body	7	6	$307.65
R415	Hip with removal of loose body	7	6	$307.65
R423	Joint Synovectomy/debridement	7	6	$479.95
R427	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition Denervation of hip	6	6	$394.80
R439	Unipolar	10	6	$500.80
R440	Total hip replacement acetabulum and femur	10	8	$710.00
R443	Removal only noncemented	8	6	$456.30
R469	Sacroiliac joint	7	6	$403.20
R470	Hip	8	6	$717.60
R481	Revision total arthroplasty hip one or both components Reattachment of greater trochanter (late)	8	6	$296.40
R488	Removal only cemented	8	6	$568.95
R491	Removal only Replacement acetabular liner and/or femoral head	10	8	$360.35
R514	Symphysis pubis	7	6	$394.80
R521	Muscles and tendons radical, e.g. muscle slide	7	6	$320.90
R522	Muscle simple	6	6	$196.90
R523	Muscle complex	7	6	$494.10
R524	Muscles Myositis ossificans	7	6	$295.30
R545	Muscle/tendon Tenotomy iliopsoas	6	6	$271.70
R547	Sacroiliac joint	7	6	$296.40
R553	Total hip replacement with take down of fusion	15	8	$992.45
R590	Bursae GT trochanteric/ischial	7	6	$205.45
R600	Fractures Femoral neck trochanteric, subtrochanteric delayed/staged graft	8	6	$295.30
R607	Fractures Slipped epiphysis closed reduction/traction	8	6	$394.80
R627	Fractures Slipped epiphysis open reduction/fixation	8	6	$592.60
R628	Dislocations Hip late, after four weeks open	10	7	$790.50
R630	Hip disarticulation	10	10	$458.25
R631	Hemipelvectomy hindquarter	15	10	$812.20
R639	Bone Simple cyst, etc	7	6	$345.55
R642	Fractures Slipped epiphysis closed reduction/internal fixation	8	6	$394.80
R686	Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy	10	6	$683.25
	E487 resection of labrum add			$244.80
	E488 resection of labrum add			$357.05
	E490 osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) add			$510.05
Z212	Bone punch needle	0		$91.50
Z214	Bone open biopsy or taking of bone graft by other than operating surgeon	6	6	$147.70
Z217	Bone under general anaesthetic	7		$73.80
Z219	Muscle needle biopsy, soft tissue, per site	0		$31.85
Z226	Soft tissue or bursa, incision and drainage	7		$99.30
Z228	Soft tissue open	6		$99.30
Z232	Muscle/tendon Tenotomy closed adductors	6		$50.20
Z233	Muscle/tendon Tenotomy open adductors	7		$99.30
Z252	Manipulation under general anaesthetic	6		$39.80
Z285	Major nerve excluding carpal tunnel or ulnar nerve at elbow	6		$148.65
Z290	Aspiration/injectionhip infant	6	6	$65.25
Z291	Dislocations Congenital hip Application Pavlik Harness or C.D.H. Splint	0		$24.60
Z569	Peritoneal abscess Pelvic abscess, incision and drainage rectal or vaginal approach	7		$124.50
Z570	Fulguration of first polyp through colonoscope	4		$50.80
	E719 each additional polyp (maximum of 4) add			$24.75

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