OHIP Billing Codes

Specialty: Lungs And Pleura

Code	Description	Anes	Asst	Fee
Search a description within this chart
M130	Closure of bronchopleural fistula (transthoracic or transsternal)	13	9	$596.50
	E609 with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad add			$124.15
	E610 with myovascular flap (pectoralis major, latissimus dorsi, rectus abdominus) add			$269.10
M132	Thoracotomy with repair of ruptured diaphragm	13	9	$517.65
M133	Thoracotomy for removal of foreign body	13	9	$398.50
M134	Thoracotomy for postoperative haemorrhage or empyema	13	9	$398.50
M135	Major decortication of lung for empyema or tumour	15	11	$865.85
M137	Thoracotomy with or without biopsy	13	9	$398.50
M138	Hilar lymph node or lung biopsy with full thoracotomy	13	9	$544.85
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M142	Pneumonectomy, may include radical mediastinal node dissection, sampling or pericardial resection requiring repair	14	10	$1,515.25
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E609 with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad add			$124.15
	E610 with myovascular flap (pectoralis major, latissimus dorsi, rectus abdominus) add			$269.10
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E644 radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy add			$211.60
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M143	Lobectomy, may include radical mediastinal node dissection or sampling	13	10	$1,430.80
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E644 radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy add			$211.60
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M144	Segmental resection, including segmental bronchus and artery	13	10	$1,470.75
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
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M145	Wedge resection of lung	13	10	$860.35
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M149	Pleurectomy, and/or apical bullectomy for pneumothorax	13	10	$535.55
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M151	Bullectomy for major bullous disease	13	10	$739.55
	E607 reoperation more than 30 days subsequent to previous excision, to appropriate excision fee add			$155.35
	E608 each additional wedge resection of lung (to a maximum of 3) add			$85.85
	E612 total extrapleural pneumonectomy add			$345.15
	E613 sleeve pneumonectomy add			$253.40
	E614 omental graft add			$165.70
	E615 intrapericardial dissection add			$123.25
	E616 bilobectomy on right side add			$144.95
	E617 with pleural tent add			$80.40
	E618 with decortication of remaining lobe(s) add			$124.30
	E619 sleeve lobectomy add			$165.70
	E620 with wedge bronchoplasty add			$80.40
	E621 with diagnostic wedge resection add			$46.75
	E624 with completion pneumonectomy for positive resection margin add			$113.45
	E625 with sleeve resection of pulmonary artery add			$145.05
	E683 when performed thorascopically or by videoassisted thoracic surgery (VATS) add 28%
	E848 with reconstruction of pericardium requiring repair with synthetic graft material add			$81.60
	E849 with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material add			$224.40
M155	Lung transplant (one lung)	40	18	$2,095.55
M156	Repeat lung transplant (one lung)	40	24	$2,724.25
M157	Donor Heart Lung removal	8	8	$924.65
R611	Hand all 'metacarpals	6	6	$295.30
Z331	Aspiration for diagnostic sample	0		$33.10
Z332	Aspiration with therapeutic drainage with or without diagnostic sample	6		$60.35
Z334	Total unilateral lung lavage with or without bronchoscopy using Double Lumen Tube and single lung anaesthesia	13		$310.70
Z335	Thoracoscopy (pleuroscopy) with or without pleural biopsy, suction, etc	7		$247.20
Z336	Biopsy of pleura, needle including diagnostic aspiration	6		$60.35
Z337	Rib resection for drainage	7	6	$135.80
Z338	Biopsy of pleura or lung with limited thoracotomy	13	9	$206.90
Z339	Intercostal drainage with insufflation of sclerosing agent under general anaesthesia	6	6	$186.60
Z340	Biopsy of lung, needle	7		$140.60
Z341	Closed drainage effusion or pneumothorax	6		$78.35
Z349	Intrapleural administration of chemotherapy or sclerosing agent by any method	0		$23.70
Z349	Intrapleural administration of chemotherapy or sclerosing agent by any method	0		$23.70
Z361	Chronic indwelling pleural catheter for palliative management of malignant pleural effusion Insertion of indwelling catheter	0		$204.00
Z362	Chronic indwelling pleural catheter for palliative management of malignant pleural effusion Removal of indwelling catheter	0		$204.00

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