OHIP Billing Codes

Specialty: Bladder

Code	Description	Anes	Asst	Fee
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S438	Cystectomy Complete Retroperitoneal lymph node dissection for bladder cancer, specimen must include obturator, internal iliac and external iliac nodes as a minimum to the level of the iliac bifurcation, bilateral	7	7	$642.65
S440	Cystectomy Complete with continent urinary diversion	15	9	$1,505.35
	E792 when performed laparoscopically add 25%
S441	Cystectomy Complete Creation of continent urinary diversion	15	9	$1,033.80
S453	Cystectomy Complete with ureteroileal conduit	15	9	$1,275.45
	E792 when performed laparoscopically add 25%
S471	Cystectomy Complete Excision of urachal cyst or sinus with or without umbilical hernia repair	6	6	$302.25
	E792 when performed laparoscopically add 25%
S476	Cutaneous vesicostomy	6	6	$446.00
S478	Cystotomy or cystostomy	6	6	$220.15
S481	Cystolithotomy when sole operative procedure	7	6	$265.90
	E078 chronic disease assessment premium (see General Preamble GP116) add 50%
	E792 when performed laparoscopically add 25%
S482	Cystectomy Partial partial for tumour or diverticulum (single or multiple)	6	6	$389.25
	E792 when performed laparoscopically add 25%
S483	Cystectomy Partial with reimplantation of ureter	7	6	$563.40
	E792 when performed laparoscopically add 25%
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S484	Cystectomy Complete complete cystectomy, without transplant	10	6	$807.75
	E792 when performed laparoscopically add 25%
S485	Cystectomy Complete with ureterointestinal transplant	13	8	$1,004.45
	E792 when performed laparoscopically add 25%
S488	Extrophy excision of bladder and repair of abdominal wall inclusive of graft	6	6	$220.15
S490	Cystectomy Partial with reimplantation of ureters	7	6	$748.25
	E792 when performed laparoscopically add 25%
S491	Plastic repair of extrophy using bladder and including skin flaps	6	6	$670.95
S491	Extrophy excision of bladder and repair of abdominal wall Plastic repair of extrophy using bladder and including skin flaps	6	6	$670.95
S512	Repair of ruptured bladder	6	6	$353.40
S513	Cystoplasty, using intestine	9	8	$706.80
S518	Plastic repair of bladder neck child	6	6	$504.85
S519	Plastic repair of bladder neck adolescent or adult	7	6	$446.00
S521	Litholapaxy and removal of fragments	6		$220.15
	E792 when performed laparoscopically add 25%
S522	Closure of fistula External, suprapubic	7	6	$266.10
	E792 when performed laparoscopically add 25%
S523	Closure of fistula Vesicovaginal vaginal approach	6	6	$807.75
S524	Closure of fistula Vesicovaginal transvesical approach (with or without omental flap)	6	6	$555.35
	E792 when performed laparoscopically add 25%
S525	Closure of fistula rectovesical	7	6	$455.90
	E792 when performed laparoscopically add 25%
Z480	Cystotomy with trochar and cannula and insertion of tube	6		$87.00
	E750 when done in conjunction with another procedure add			$26.55
Z602	Catheterization office	0		$8.70
Z603	Catheterization home	0		$16.60
Z605	Aspiration	0		$12.75
Z606	Diagnostic and Therapeutic Procedures Diagnostic with or without urethroscopy	5		$72.45
	E751 with insertion of chemotherapeutic agent(s) add			$55.80
	E773 with placement of ureteric stent past obstructing lesion (unilateral) add			$50.90
	E775 with catheterization of the ureter and collection of the ureteral specimen, unilateral add			$15.65
	E776 with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder add			$25.40
	E777 with cystometrogram (to include urethral pressure profile if necessary) add			$11.75
	E780 with needle biopsy of prostate add			$33.25
	E781 with electrocoagulation tumour(s) add			$50.90
	E782 with electrocoagulation Hunner ulcer add			$50.90
	E783 with secondary surgical evacuation of bladder clots and control of haemorrhage add			$101.65
	E784 with hydrodistention of bladder general anaesthetic add			$50.85
	E786 with resection or incision bladder neck, female add			$101.70
	E787 with resection or incision bladder neck, male add			$265.65
	E788 with ureteral meatotomy, by any means add			$101.70
	E789 with removal foreign body or calculus add			$101.70
	E790 with removal of ureteric catheter add			$9.00
	E791 with periurethral injection of bulking agents add			$26.50
	E817 with catheterization of the ureter and retrograde injection of opaque media, unilateral add			$15.65
	E818 with insertion of ureteric stent, unilateral add			$25.40
Z607	Diagnostic and Therapeutic Procedures Repeat within 30 days	5		$36.20
	E751 with insertion of chemotherapeutic agent(s) add			$55.80
	E773 with placement of ureteric stent past obstructing lesion (unilateral) add			$50.90
	E775 with catheterization of the ureter and collection of the ureteral specimen, unilateral add			$15.65
	E776 with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder add			$25.40
	E777 with cystometrogram (to include urethral pressure profile if necessary) add			$11.75
	E780 with needle biopsy of prostate add			$33.25
	E781 with electrocoagulation tumour(s) add			$50.90
	E782 with electrocoagulation Hunner ulcer add			$50.90
	E783 with secondary surgical evacuation of bladder clots and control of haemorrhage add			$101.65
	E784 with hydrodistention of bladder general anaesthetic add			$50.85
	E786 with resection or incision bladder neck, female add			$101.70
	E787 with resection or incision bladder neck, male add			$265.65
	E788 with ureteral meatotomy, by any means add			$101.70
	E789 with removal foreign body or calculus add			$101.70
	E790 with removal of ureteric catheter add			$9.00
	E791 with periurethral injection of bulking agents add			$26.50
	E817 with catheterization of the ureter and retrograde injection of opaque media, unilateral add			$15.65
	E818 with insertion of ureteric stent, unilateral add			$25.40
Z608	Manual catheter declotting and irrigation of bladder	0		$59.85
Z610	Intravesical instillation of BCG or immunotherapeutic agent or chemotherapeutic agent for the treatment of bladder cancer	0		$26.15
Z611	Catheterization hospital	0		$8.70
Z632	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary single tumour 1 to 2 cm diameter	6		$276.80
Z633	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary single tumour over 2 cm diameter	6		$446.00
Z634	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary multiple tumours	6		$446.00

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