OHIP Billing Codes

Specialty: Skull And Mandible

Code	Description	Anes	Asst	Fee
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D062	Dislocations Temporomandibular joint closed reduction	6		$52.70
D063	Dislocations Temporomandibular joint open reduction	7	6	$261.55
E173	Fractures Orbit open reduction rim/wall fracture Zygomatic fracture dislocation	7	6	$606.65
	E933 with miniplate(s), per major fracture line add			$101.85
	E934 with primary bone graft (separate site) add			$208.90
E174	Fractures Orbit blowout fracture of floor	7	6	$680.40
F136	Fractures Nasal bones to include manipulation of nasal septum closed reduction	6		$104.40
	E825 with miniplate(s), per major fracture line add			$65.25
F137	Fractures Nasal bones to include manipulation of nasal septum open reduction	10		$322.70
	E825 with miniplate(s), per major fracture line add			$65.25
F138	Mandible closed reduction, includes maxillarymandibular fixation	7	6	$357.05
F139	Mandible open reduction, per fracture, to include intermaxillary fixation	6	6	$586.55
	E828 rigid internal fixation, any method add			$106.10
F140	Mandible removal of intermaxillary fixation device(s)	0		$102.00
F142	Fractures Orbit with maxilla with wiring and local fixation	7	6	$698.95
	E830 with miniplate(s), per major fracture line add			$109.35
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F143	Fractures Midface fractures middle 1/4 facial	8	6	$589.25
	E830 with miniplate(s), per major fracture line add			$109.35
F144	Fractures Midface fractures cranialfacial separation	10	6	$1,626.95
	E830 with miniplate(s), per major fracture line add			$109.35
F146	Mandible removal of intermaxillary fixation device(s) complicated (see General Preamble GP12) I.C	10	6	$1,626.95
F150	Fractures Orbit with maxilla closed reduction and dental wiring	7		$261.55
	E830 with miniplate(s), per major fracture line add			$109.35
R145	Mandibular condylotomy	7	6	$208.90
R272	Bone Bone tumour (see General Preamble GP12)	0		$872.35
R278	Maxilla, with exenteration of orbit and skin graft	7	6	$543.65
R279	Maxilla advancement	8	6	$449.00
R280	Mandible	7	6	$360.20
R284	Mandibular condyle	7	6	$282.10
R334	Reconstruction mandible with bone grafts* and/or plate or prosthesis Unilateral partial	15	6	$417.80
R335	Reconstruction mandible with bone grafts* and/or plate or prosthesis Unilateral complete	15	6	$835.60
R347	Bicoronal flaps	0		$204.00
R349	Posterior dentoalveolar osteotomy, maxilla one side	15	6	$819.95
R351	Posterior dentoalveolar osteotomy, maxilla both sides, single segment	15	6	$950.85
R376	Hypertelorism correction intracranial approach*	25	12	$2,381.80
R377	Hypertelorism correction subcranial U osteotomies*	25	12	$1,989.35
R378	LeFort III total maxillary advancement*	25	12	$2,078.30
R379	LeFort I advancement in one segment	20	10	$819.95
	E961 in two segments add			$302.55
	E962 in three segments add			$606.15
R380	Orbital cranial osteotomy intracranial approach	25	12	$1,525.55
R381	Orbital cranial osteotomy extracranial approach	20	10	$1,144.05
R382	Anterior dentoalveolar osteotomy, maxilla or mandible one segment	15	6	$819.95
R383	Anterior dentoalveolar osteotomy, maxilla or mandible two segments	15	6	$950.85
R384	Mandibular osteotomies for prognathism vertical ramus	15	6	$950.85
R385	Posterior dentoalveolar osteotomy, maxilla both sides, separate segments	15	6	$1,211.35
R386	Genioplasty one segment	10	6	$392.35
R387	Genioplasty two segments, or for laterognathia	10	6	$587.00
R388	Genioplasty three segments	10	6	$783.30
R389	LeFort II maxillary osteotomy and advancement*	20	10	$1,472.95
R390	Bilateral periorbital correction TreacherCollins Syndrome with or without bone grafts* (extracranial)	20	10	$1,733.60
R391	Orbital dystopia intracranial approach	25	12	$1,989.35
R392	Orbital dystopia intracranial approach	20	10	$1,514.95
R393	Forehead advancement (bone grafts not included) bilateral	25	12	$1,472.95
R394	Cranial vault reshaping* anterior or posterior half	20	10	$1,555.95
R395	Construction glenoid fossa and zygomatic arch* (Obwegeser technique)	20	10	$1,430.95
R396	Construction absent condyle and ascending ramus*	10	6	$819.95
R398	Medial transnasal canthopexy unilateral	6	6	$422.65
	E557 when done in conjunction with another procedure add			$157.10
R399	Lateral canthoplasty unilateral	6	6	$208.90
	E930 when done in conjunction with another procedure add			$104.40
R428	Temporomandibular meniscectomy	7	6	$254.75
R433	Temporomandibular joint unilateral	10	6	$356.30
R462	Posterior dentoalveolar osteotomy, mandible one side	15	6	$819.95
R463	Posterior dentoalveolar osteotomy, mandible both sides	15	6	$1,211.35
R480	Mandibular osteotomies for prognathism subcondylar	7	6	$428.55
R502	Total U dentoalveolar osteotomy mandible	15	6	$1,253.40
R507	Total U dentoalveolar osteotomy maxilla	15	6	$1,342.15
R511	Total U dentoalveolar osteotomy Mandibular or maxillary visor osteotomy for alveolar hypoplasia	15	6	$1,169.45
R518	Mandibular osteotomies for prognathism sagittal split	15	6	$950.85
R520	Mandibular osteotomies for retrognathia, any technique advancement up to 10 mm	15	6	$950.85
R529	Mandibular osteotomies for retrognathia, any technique advancement 10 to 20 mm, inclusive	15	6	$1,079.65
R531	Facial paralysis static slings	6	6	$313.30
R532	Facial paralysis dynamic slings	6	6	$407.00
R533	Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles	7	6	$522.20
	E597 with meloplasty add			$88.80
R535	Mandibular osteotomies for retrognathia, any technique advancement greater than 20 mm	15	6	$1,384.15
	E588 for apertognathia or laterognathia add			$261.55
R538	LeFort I intrusion in one segment	20	10	$1,080.65
	E963 in two segments add			$302.55
	E964 in three segments add			$606.15
R567	LeFort I extrusion in one segment*	20	10	$1,342.15
	E965 in two segments add			$302.55
	E966 in three segments add			$606.15
R580	LeFort I cleft palate in one segment*	20	10	$1,555.95
	E967 in two segments add			$261.55
	E968 in three segments add			$522.20
	E969 with SMR add			$208.90
	E970 with pharyngoplasty add			$313.30
	E971 with closure alveolar fistula with or without bone graft add			$391.35
	E972 with closure hard palate fistula with or without bone graft add			$522.20
R588	Nasomaxillary osteotomy without LeFort I*	15	6	$819.95
R609	Combined LeFort I and LeFort III osteotomy in hemifacial microsomia	20	10	$1,618.10
R618	Coronoidotomy	7	6	$208.90
R644	Coronoidectomy	6	6	$313.30
R645	Reconstruction mandible with bone grafts* and/or plate or prosthesis Bilateral partial	15	6	$835.60
R646	Reconstruction mandible with bone grafts* and/or plate or prosthesis Bilateral complete	15	6	$1,044.55
R647	Oral vestibuloplasty with secondary epithelization	6	6	$208.90
R648	Oral vestibuloplasty with skin graft	6	6	$313.30
R649	Temporomandibular ankylosis excision bone or fibrous block	7	6	$470.55
R650	Temporomandibular ankylosis with insertion of prosthetic device or muscle flap	13	6	$522.20
R651	Temporomandibular ankylosis with construction of condyle and ascending ramus*	15	6	$679.40
R653	Bilateral periorbital correction TreacherCollins Syndrome with skull and muscle transpositions* (includes skull reconstruction) (intracranial)	25	10	$2,240.50
R654	Pericranial flap to orbit or face unilateral	6		$313.30
	E973 when in conjunction with coronal approach for main operation add			$182.50
R655	Pericranial flap to orbit or face bilateral	7		$417.80
	E974 when in conjunction with coronal approach for main operation add			$303.55
R656	LeFort III and subcranial hypertelorism correction*	25	12	$2,642.40
R657	LeFort III and LeFort I maxillary advancement*	25	12	$2,381.80
R658	LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement*	25	12	$2,986.95
R659	Upper LeFort III advancement without occlusal change* unilateral	10	6	$950.85
R675	Upper LeFort III advancement without occlusal change* bilateral	25	12	$1,472.95
R676	Forehead advancement (bone grafts not included) unilateral	25	12	$1,211.35
R677	Total cranial vault reshaping*	25	12	$2,120.10
R678	Hypertelorism correction medial orbital wall osteotomies*	20	10	$1,253.40
R679	Hypertelorism correction medial and lateral orbital wall osteotomies*	20	10	$1,644.70
R680	Late correction traumatic enophthalmos intracranial	25	12	$2,037.20
R681	Late correction traumatic enophthalmos extracranial	20	10	$1,472.95
Z234	Mandibular sequestrectomy	7	7	$286.90
Z240	Application of dental arch bars, or splint, for facial osteotomy two arch bars	7	6	$208.90
Z242	Bone open	7	6	$196.90
Z253	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Mandible unilateral	0		$402.75
Z254	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Mandible bilateral	0		$517.65
Z255	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Maxilla unilateral	0		$402.75
Z256	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Maxilla bilateral	0		$517.65
Z256	Maxilla bilateral	0		$517.65
Z257	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Zygoma unilateral	0		$344.65
Z258	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Zygoma bilateral	0		$459.55
Z259	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Temporal unilateral	0		$459.55
Z260	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Temporal bilateral	0		$574.40
Z261	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Frontal unilateral	0		$459.55
Z262	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction Frontal bilateral	0		$574.40
Z263	Harvesting of bone graft when not included Iliac bone graft	0		$104.40
Z264	Harvesting of bone graft when not included Rib graft one rib	0		$157.10
	E975 each subsequent rib add			$78.05
Z265	Harvesting of bone graft when not included Costochondral or chondral graft one rib	0		$235.30
	E976 each subsequent rib add			$157.10
Z266	Harvesting of bone graft when not included Costochondral or chondral graft split cranial graft	0		$208.90
Z267	Augmentation of zygoma (bilateral) with prosthetic implant	0		$188.30
Z268	Augmentation of zygoma (bilateral) with autogenous bone or cartilage*	0		$235.30
Z269	Augmentation of chin with prosthetic implant	0		$157.10
Z270	Augmentation of chin with autogenous bone or cartilage*	0		$193.25
Z271	Augmentation of chin Horizontal resection, red lower lip	0		$188.30
Z339	Intercostal drainage with insufflation of sclerosing agent under general anaesthesia	6	6	$186.60
Z354	Excisional biopsy of rib for tumour	7	6	$145.05
Z869	Bone punch, simple	7		$49.45
Z870	Bone punch, xray control	6		$123.15

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