OHIP Billing Codes

Specialty: Premium

Category: All

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Code Description Fee

All

E424 - assessment of paediatric patient with amblyopia - add $50.00
E519 - each additional polyp (10 mm - 19 mm) - add $77.50
E518 - each additional polyp (20 mm - 29 mm) - add $77.50
E520 - each additional polyp (6 mm - 9 mm) - add $77.50
E827 - repair of defect (> 10 cm) with component separation - add $600.00
E829 - repair of defect (5-10 cm) with component separation - add $300.00
E877 - repeat strabismus procedure(s) - add 30%
E175 - therapeutic paracentsis done in conjuction - add $20.00
E521 - when done in conjuction with another procedure - add $200.00
M112 - when performed thorascopically, by video-assisted thoracic surgery (VATS), by robotic-assisted surgery, or by uniportal approach - add 35%

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E494 - 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty - add $299.00
E379 - 2D stereotactic spinal procedure - add $510.00
E378 - 3D stereotactic spinal procedure - add $510.00
K187 - acute post-discharge community psychiatric care - add 15%
E837 - additional biopsy(s) performed by EBUS, to a maximum of 3 - add $50.75
G549 - additional implantation site(s) (maximum 1 per patient) $157.85
E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add $179.55
E894 - aneurysm greater than 2.5 cm - add $229.55
E622 - any bronchoscopic procedure for patients under 3 years of age - add $79.40
J809 - application of SPECT (maximum 2 per examination) - add $23.65
J866 - application of SPECT), maximum 1 per exam - add $23.65
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%
E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
E802 - biopsy or fine needle aspiration, to a maximum of 3, per lesion - add $50.75
E532 - both tibial plateaus, same knee - add 50%
J708 - cardiac PET with quantitative analysis - add 0%
E544 - Cast-bracing w/ closed reduction to closed reduction fee - add 40%
E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
G329 - each additional bursa or complex joint, to a maximum of 2 $20.25
G371 - each additional bursa, joint, ganglion or tendon sheath, to a maximum of 5 $19.90
E541 - each additional expander (to a maximum of 3) $11.55
G876 - each additional injection to a maximum of 11 - add $10.00
E719 - each additional polyp (maximum of 4) - add $24.75
E720 - each additional polyp greater than or equal to 3mm (maximum of 2) - add $77.50
E799 - each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) - add $25.25
G265 - each additional unilateral block following G264 per spinal level per day when G264 is payable in full (maximum 3 per day to a maximum of 48 additional blocks per calendar year) $17.10
G292 - each additional unilateral block following G291 per spinal level per day when G291 is payable in full (maximum 3 per day) $10.00
E608 - each additional wedge resection of lung (to a maximum of 3) - add $84.15
E630 - endoscopic placement of stent in colon, - add $137.05
E386 - extradural decompression - spinal cord or cauda equina - tumour or infection - add 42%
E983 - following previous glaucoma filtering procedure - add 25%
G123 - for each additional one (to a maximum of 4) - add $17.10
E601 - for each additional rib (more than 3) to a maximum of 3 additional - add $57.50
E605 - for each additional rib (more than 3) to a maximum of 3 additional - add $55.60
G385 - for each additional site (to a maximum of 2) - add $4.55
E373 - for repeat decompression - add 30%
E375 - for repeat fusion - add 30%
E374 - foramen magnum decompression < 3cm as part of cervical decompression - add $357.00
E892 - harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add $500.00
K188 - high risk community psychiatric care - add 15%
G556 - ICU/ NICU admission assessment is an initial visit rendered during night time (00:0007: 00) - add $136.40
E540 - if excision is performed in hospital for tumour free margin with frozen section - add 25%
E977 - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees - add 25%
E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add
E911 - implantation of neuroma into bone or muscle - add 40%
E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
E919 - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add $254.45
E451 - J315 plus 12 lead e.c.g. done at rest, used for monitoring - add $25.05
E793 - laparoscopic or laparoscopic assisted - add 25%
E902 - lesion greater than 2 cm diameter - add $454.15
E898 - lesion greater than 2.5 cm - add $283.80
E871 - lumbar puncture using image guidance following a failed blind attempt - add 25%
E489 - microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add $250.00
E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add $54.25
E895 - of cerebral arteriovenous malformation greater than 4 cm - add $373.80
E481 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add $500.00
E490 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add $500.00
E826 - percutaneous pinning - add 75%
E569 - percutaneous pinning, to closed reduction fee - add 50%
E060 - post renal transplant assessment premium - add 25%
E607 - re-operation more than 30 days subsequent to previous excision, to appropriate excision fee - add $152.30
E623 - repeat operation after 30 days - add $415.15
E726 - repeat recurrent inguinal hernia (more than 2 repairs) - add $226.00
E564 - revision of arthroplasty - add 35%
E058 - revision/repair following previous glenohumeral joint surgery - add 30%
E059 - revision/repair following previous reconstruction of knee ligaments - add 30%
E057 - revision/repair following previous rotator cuff surgery - add 30%
E555 - rigid external fixation for closed reduct to closed reduction fee - add 50%
J022 - selective catheterization - add to catheter insertion fee (per vessel, to maximum of 4) - add $60.15
E411 - sole delivery (max 25/yr/physician) - add 100%
E483 - synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add $326.55
E685 - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add $227.65
E831 - use of skin grafts, or revision surgery (with or without skin grafts) - add 30%
E445 - when alcohol or other sclerosing solutions are used - add 50%
E958 - when alcohol or other sclerosing solutions are used, the appropriate nerve block fees as listed above - add 50%
X486 - when cardiac gating is preformed - add 30%
E792 - when performed laparoscopically - add 25%
E862 - when performed laparoscopically - add 25%
E863 - when performed laparoscopically - add 25%
E683 - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28%
E845 - when performed using a 3D CT/MRI image guided system - add $140.00
E982 - when service is rendered to newborn, infant or child (ages 0 to 15 inclusive) - add 30%
J819 - where each SPECT image represents a different organ or body area, maximum 3 images per examination - add $24.65
E857 - with D&C - add $78.45
E681 - with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) - add $43.60
E680 - with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) - add $82.35
E702 - with multiple (3 or more) biopsies of specific lesion - add $15.10
E444 - with radiofrequency ablation - add 50%
E752 - with repeat surgery on kidney at least 30 days after previous kidney surgery - add $83.25
E637 - with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site - add $76.45
E674 - with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add $142.40
E675 - with snare polypectomy each additional polyp > 1 cm (maximum 2) - add $73.50
E703 - with snare polypectomy first polyp (> 1 cm) - add $50.50
E388 #NAME? $204.00
E722 #NAME? $162.70
E389 #NAME? $102.00
E723 #NAME? $284.80
G285 #NAME? $32.90
E390 #NAME? $255.00
E724 #NAME? $23.25
G286 #NAME? $32.90
E391 #NAME? $252.95
E725 #NAME? $130.00
E392 #NAME? $510.00
E393 #NAME? $510.00
E727 #NAME? $65.90
E394 #NAME? $765.00
E728 #NAME? $167.65
E395 #NAME? $306.00
E729 #NAME? $284.75
E396 #NAME? $71.40
E732 #NAME? $29.10
E733 #NAME? $142.40
E734 #NAME? $211.15
E735 #NAME? $284.75
E736 #NAME? $187.90
E737 #NAME? $82.35
E738 #NAME? $387.40
E739 #NAME? $122.05
E740 #NAME? $51.75
E741 #NAME? $31.15
E742 #NAME? $217.35
E743 #NAME? $153.05
E744 #NAME? $115.80
E414 #NAME? $62.05
E745 #NAME? $94.85
E746 #NAME? $5.85
E747 #NAME? $31.15
E423 #NAME? $25.00
E748 #NAME? $122.05
E749 #NAME? $22.35
E430 #NAME? $11.95
E750 #NAME? $26.05
E431 #NAME? $11.95
E751 #NAME? $54.70
E440 #NAME? $30.00
E441 #NAME? $16.60
E753 #NAME? $241.20
E442 #NAME? $20.00
E754 #NAME? $57.50
E443 #NAME? $80.00
E755 #NAME? $69.30
E756 #NAME? $24.50
E757 #NAME? $55.25
E446 #NAME? $30.00
E758 #NAME? $217.35
E450 #NAME? $8.05
E759 #NAME? $95.95
E760 #NAME? $167.85
E761 #NAME? $95.95
E476 #NAME? $192.00
E762 #NAME? $301.05
E477 #NAME? $192.00
E764 #NAME? $24.20
E478 #NAME? $251.55
E765 #NAME? $300.45
E479 #NAME? $192.00
E766 #NAME? $29.70
E041 #NAME? $81.55
E480 #NAME? $350.65
E767 #NAME? $138.15
E048 #NAME? $108.75
E768 #NAME? $236.70
E049 #NAME? $87.20
E482 #NAME? $251.55
E769 #NAME? $260.05
E050 #NAME? $77.05
E770 #NAME? $23.10
E051 #NAME? $245.90
E484 #NAME? $336.65
E771 #NAME? $343.40
E052 #NAME? $259.85
E485 #NAME? $240.50
E772 #NAME? $175.50
L823 #NAME? $38.25
E053 #NAME? $94.60
E487 #NAME? $240.00
E773 #NAME? $49.90
E054 #NAME? $236.10
E488 #NAME? $350.00
E775 #NAME? $15.35
E055 #NAME? $94.60
E776 #NAME? $24.90
E056 #NAME? $91.90
E777 #NAME? $11.50
E491 #NAME? $161.45
E780 #NAME? $32.60
E492 #NAME? $231.30
E781 #NAME? $49.90
E782 #NAME? $49.90
E783 #NAME? $99.65
L831 #NAME? $49.35
E069 #NAME? $134.75
E495 #NAME? $240.45
E784 #NAME? $49.85
E496 #NAME? $336.65
E497 #NAME? $526.40
E786 #NAME? $99.70
E787 #NAME? $260.40
L835 #NAME? $15.60
E499 #NAME? $397.75
E788 #NAME? $99.70
E500 #NAME? $148.60
E789 #NAME? $99.70
E501 #NAME? $304.30
E790 #NAME? $8.80
E791 #NAME? $26.00
G877 #NAME? $18.85
E503 #NAME? $26.85
G878 #NAME? $28.10
L842 #NAME? $8.45
E090 #NAME? $260.80
E504 #NAME? $22.20
G879 #NAME? $18.85
E505 #NAME? $178.05
E794 #NAME? $35.85
G880 #NAME? $28.10
E508 #NAME? $85.00
E795 #NAME? $46.30
E509 #NAME? $805.65
E796 #NAME? $102.40
E510 #NAME? $838.15
E797 #NAME? $46.30
E511 #NAME? $100.00
E798 #NAME? $69.70
E512 #NAME? $100.00
G913 #NAME? $20.00
E513 #NAME? $297.50
E800 #NAME? $101.50
E514 #NAME? $200.00
E801 #NAME? $152.30
G915 #NAME? $14.00
E803 #NAME? $30.65
E804 #NAME? $145.05
E805 #NAME? $203.05
E807 #NAME? $2,644.75
E523 #NAME? $321.00
E808 #NAME? $150.00
E524 #NAME? $273.45
E809 #NAME? $250.00
E525 #NAME? $48.05
E815 #NAME? $398.15
E527 #NAME? $58.95
E817 #NAME? $15.35
E528 #NAME? $258.50
E818 #NAME? $24.90
E529 #NAME? $102.45
E819 #NAME? $54.65
E820 #NAME? $49.75
E822 #NAME? $37.70
E537 #NAME? $165.20
E823 #NAME? $233.65
E538 #NAME? $38.00
E824 #NAME? $49.85
E539 #NAME? $117.85
E825 #NAME? $63.95
E542 #NAME? $11.55
E828 #NAME? $104.00
E543 #NAME? $30.60
E830 #NAME? $107.20
E136 #NAME? $290.00
E545 #NAME? $11.55
E546 #NAME? $388.75
E832 #NAME? $273.85
E833 #NAME? $116.10
E550 #NAME? $63.15
E551 #NAME? $86.30
E838 #NAME? $79.40
E552 #NAME? $58.45
E839 #NAME? $19.20
E553 #NAME? $25.15
E840 #NAME? $119.20
E841 #NAME? $226.80
E842 #NAME? $58.60
E843 #NAME? $103.05