OHIP Billing Codes

Specialty: Nose

Code	Description	Anes	Asst	Fee
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M010	Removal of foreign body Excision of intranasal lesions by lateral rhinotomy approach	7	6	$503.85
M011	Removal of foreign body Excision of other intranasal lesions (see General Preamble GP12)	7	6	$503.85
M012	Septoplasty	10		$299.85
	E642 if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap add			$121.60
	E840 with repair of septal perforation add			$121.60
M013	Partial septorhinoplasty (excluding osteotomies)	10		$536.55
	E642 if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap add			$121.60
	E840 with repair of septal perforation add			$121.60
M014	Septorhinoplasty	10	6	$552.55
	E642 if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap add			$121.60
	E840 with repair of septal perforation add			$121.60
	E841 with autologous bone or cartilage graft from site(s) other than nose, to a maximum of two add			$231.35
	E842 with nonautologous graft or implant add			$59.80
M015	Septodermoplasty (to include fascial and other grafts)	7		$313.00
M016	Repair of septal perforation	7		$365.90
M018	Endonasal augmentation for atrophic rhinitis unilateral (including obtaining graft or preparing implant)	7		$313.00
M020	Repair of choanal atresia unilateral or bilateral	6	6	$367.70
M021	Puncture and insertion of tube for choanal atresia unilateral or bilateral	6		$126.20
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M027	Ligation of external carotid artery unilateral	6	6	$303.20
M028	Dilation of choanal atresia unilateral or bilateral	6		$75.30
M030	Rhinoplasty for reconstruction of cleft lip nasal deformity complex, to include necessary grafts and septoplasty	7	6	$1,104.05
M031	Rhinoplasty for reconstruction of cleft lip nasal deformity tip and septum reconstruction to include minor lip repair (Minor revision, Zplasty)	7		$259.25
M032	Rhinoplasty for reconstruction of cleft lip nasal deformity tip and septum to include total take down of cleft lip	6		$441.15
M033	Closure or opening of nostril for atrophic rhinitis	7		$259.25
R181	Excision of nasopharyngeal or oropharyngeal lesion With palatal split	7	6	$518.40
R182	Excision of nasopharyngeal or oropharyngeal lesion With mandibulotomy, glossotomy and/or palatal split	10	7	$1,241.25
R319	Graft to nose autologous, bone or cartilage (without septorhinoplasty)	7	6	$367.70
R320	nonautologous or prosthetic implant (without septorhinoplasty)	7	6	$236.65
R788	Ligation of internal maxillary artery unilateral	10	7	$416.30
R789	Ligation of anterior ethmoidal artery unilateral	7	6	$305.90
Z296	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) withflexible endoscope if only operative procedure performed	0		$20.50
Z297	Excision of nasopharyngeal or oropharyngeal lesion Insertion of prosthesis for nasal septal perforation	0		$18.65
Z298	Nasopharynx (including oropharynx, oral cavity and hypopharynx) EUGA of nasopharynx for malignant disease including biopsies (not eligible for payment if rendered in conjunction with tonsillectomy and adenoidectomy or quadroscopy)	6		$42.10
Z299	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) with rigid endoscope, for diagnostic evaluation, or to facilitate biopsy or surgical treatment of pathology in the posterior nasal cavity, hypopharynx or larynx	0		$8.70
Z301	Drainage of abscess or haematoma	6		$56.70
Z302	Turbinate reductionuni or bi	6		$56.70
Z304	Nasal polyp single	0		$21.40
	E839 with flexible endoscope add			$19.60
Z305	Nasal polyp multiple or involving general anaesthetic unilateral	7		$56.70
Z306	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) Excision of middle turbinate concha bullosa unilateral	7		$56.70
Z308	Choanal polypectomy unilateral	7		$56.70
z309	Biopsy single	0		$18.65
	E839 with flexible endoscope add			$19.60
Z310	Biopsy multiple or involving general anaesthetic	6		$51.90
Z311	Removal of foreign body local anaesthetic	0		$10.75
	E839 with flexible endoscope add			$19.60
Z312	Removal of foreign body general anaesthetic	6		$51.90
Z313	Endoscopic transnasal ligation of the sphenopalatine artery for posterior epistaxis unilateral	0		$126.20
Z314	Cauterization unilateral	6		$11.75
	E839 with flexible endoscope add			$19.60
Z315	Anterior packing unilateral	6		$15.65
	E839 with flexible endoscope add			$19.60
Z316	Posterior packing unilateral or bilateral	6		$36.20
	E839 with flexible endoscope add			$19.60
Z317	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) Examination under anaesthesia (EUA) of nose including suction cautery for posterior epistaxis unilateral or bilateral	6		$114.30

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