OHIP Billing Codes
Specialty: Kidney And Upper Urinary Tract
Code | Description | Fee | ||
---|---|---|---|---|
|
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S400 | Laparoscopic placement of probe(s) for ablation of renal tumour | $413.10 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S401 | Drainage of kidney abscess | $419.55 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S402 | Drainage of perinephric abscess | $273.00 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S403 | Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst) | $363.85 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
E792
when performed laparoscopically add 25%
|
||||
S405 | Nephrolithotomy open | $492.10 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S408 | Pyelolithotomy open | $446.00 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S410 | Calycectomy with diversion of urine | $522.30 | ||
S411 | Partial or heminephrectomy | $908.70 | ||
E792
when performed laparoscopically add 25%
|
||||
S412 | Nephrectomy ectopic kidney | $476.40 | ||
E766
with gland dissection add
|
$30.30 | |||
E767
with repair of vena cava for thrombus below the hepatic vein add
|
$140.95 | |||
E768
with repair of vena cava for thrombus above the hepatic vein add
|
$241.45 | |||
S413 | Nephrectomy lumbar | $476.40 | ||
E766
with gland dissection add
|
$30.30 | |||
E767
with repair of vena cava for thrombus below the hepatic vein add
|
$140.95 | |||
E768
with repair of vena cava for thrombus above the hepatic vein add
|
$241.45 | |||
E792
when performed laparoscopically add 25%
|
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S415 | Nephrectomy transperitoneal | $533.00 | ||
E766
with gland dissection add
|
$30.30 | |||
E767
with repair of vena cava for thrombus below the hepatic vein add
|
$140.95 | |||
E768
with repair of vena cava for thrombus above the hepatic vein add
|
$241.45 | |||
S416 | Nephrectomy thoracoabdominal or radical nephrectomy | $908.70 | ||
E766
with gland dissection add
|
$30.30 | |||
E767
with repair of vena cava for thrombus below the hepatic vein add
|
$140.95 | |||
E768
with repair of vena cava for thrombus above the hepatic vein add
|
$241.45 | |||
E792
when performed laparoscopically add 25%
|
||||
S420 | Nephrectomy Nephroureterectomy, total, with resection of ureterovesical junction | $686.65 | ||
E792
when performed laparoscopically add 25%
|
||||
S422 | Pyeloplasty (with or without nephropexy) | $908.70 | ||
E754
with removal of calculus add
|
$58.65 | |||
S423 | Partial or heminephrectomy with total ureterectomy | $773.10 | ||
S424 | Nephrectomy Extrophy plastic closure of bladder with closure of abdominal wall and urethral lengthening with closure of pelvic floor with or without reimplantation of ureters | $1,262.10 | ||
S427 | Bladder flap (Boari) to include reimplantation of ureter | $512.55 | ||
E792
when performed laparoscopically add 25%
|
||||
S428 | Symphysiotomy for horseshoe kidney with or without nephropexy and associated procedures | $504.85 | ||
S429 | Ruptured or lacerated kidney repair or removal | $446.00 | ||
S430 | Removal of staghorn calculus filling renal pelvis and calyces open, with or without xray control and/or anatrophic nephrolithotomy | $670.95 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
S431 | Excision of retroperitoneal tumour | $389.25 | ||
S432 | Exploration of retroperitoneal tumour | $266.10 | ||
S433 | Sacrococcygeal teratoma | $446.00 | ||
S434 | Kidney retransplant | $1,895.50 | ||
E762
reconstruction or repair of renal artery done in addition torenal transplantation procedures
|
$307.10 | |||
E771
team fee (not to be billed when assistant fees are billed) add
|
$350.30 | |||
S435 | Kidney transplant | $1,584.35 | ||
E762
reconstruction or repair of renal artery done in addition torenal transplantation procedures
|
$307.10 | |||
E769
team fee (not to be billed when assistant fees are billed) add
|
$265.30 | |||
S436 | Donor nephrectomy unilateral or bilateral (to include renal perfusion with hypothermia when rendered by surgeon) | $666.35 | ||
E753
live donor add
|
$159.45 | |||
E762
reconstruction or repair of renal artery done in addition torenal transplantation procedures
|
$307.10 | |||
E792
when performed laparoscopically add 25%
|
||||
S437 | Renal autotransplantation | $1,184.95 | ||
E762
reconstruction or repair of renal artery done in addition torenal transplantation procedures
|
$307.10 | |||
S445 | Ureterotomy, abdominal or vaginal exploratory or for drainage With removal of calculus upper 2/3 | $384.35 | ||
S446 | Ureterotomy, abdominal or vaginal exploratory or for drainage With removal of calculus lower 1/3 | $492.10 | ||
S447 | Ureterotomy, abdominal or vaginal exploratory or for drainage Where ureter has been previously opened upper 2/3 | $446.00 | ||
S448 | Ureterotomy, abdominal or vaginal exploratory or for drainage Where ureter has been previously opened lower 1/3 | $533.00 | ||
S449 | Ureterectomy including ureterovesical junction | $454.35 | ||
S450 | Ureterectomy other e.g. partial | $338.35 | ||
S451 | Reimplantation Ureterovesical anastomosis or reimplantation unilateral | $446.00 | ||
E792
when performed laparoscopically add 25%
|
||||
S452 | Ureteroileal conduit | $804.00 | ||
S454 | Ureteroileal conduit with ureterectomy and ileal replacement | $911.45 | ||
S455 | Ureterointestinal anastomosis unilateral | $338.35 | ||
S457 | Ureteroureterostomy | $563.40 | ||
E792
when performed laparoscopically add 25%
|
||||
S458 | Ureterostomy Cutaneous unilateral | $504.85 | ||
S459 | Ureterostomy Ureterovaginal fistula | $569.05 | ||
S460 | Ureterolysis for periureteral fibrosis unilateral | $446.00 | ||
E792
when performed laparoscopically add 25%
|
||||
S461 | Ureteroplasty (Hutch) unilateral | $338.35 | ||
S462 | Ureterointestinal anastomosis bilateral | $447.15 | ||
S463 | Ureterostomy Cutaneous with lower third ureterotomy | $389.25 | ||
S465 | Traumatic rupture, or transection (partial or complete) Immediate upper 2/3 | $389.25 | ||
S466 | Traumatic rupture, or transection (partial or complete) Immediate lower 1/3 | $446.00 | ||
S467 | Traumatic rupture, or transection (partial or complete) Late repair upper 2/3 | $446.00 | ||
S468 | Traumatic rupture, or transection (partial or complete) Late repair lower 1/3 | $492.10 | ||
S470 | Cystoscopy with manipulation and/or removal of calculus and retrograde pyelogram if required | $245.50 | ||
S561 | Reimplantation of ureter with extensive tapering with or without ureterolysis | $670.95 | ||
E792
when performed laparoscopically add 25%
|
||||
S562 | Reimplantationof bifid ureter | $492.10 | ||
E792
when performed laparoscopically add 25%
|
||||
Z600 | Change of nephrostomy tube | $44.90 | ||
Z601 | Renal biopsy, needle | $146.45 | ||
E752
with repeat surgery on kidney at least 30 days after previous kidney surgery add
|
$84.90 | |||
Z623 | Insertion of stent | $97.00 | ||
Z624 | Dilatation of tract | $107.35 | ||
Z625 | Selective catheterization of calyces (one or more) | $53.75 | ||
Z626 | Nephroscopy, percutaneous or retrograde | $97.90 | ||
Z627 | Removal of renal calculi | $171.65 | ||
E759
if disintegrated by any method add
|
$97.90 | |||
E772
percutaneous removal of staghorn calculus filling renal pelvis and extending into calyces add
|
$179.05 | |||
Z628 | Cystoscopy and diagnostic Ureteroscopy above intramural | $128.25 | ||
E760
with removal of calculus add
|
$171.20 | |||
E761
intracorporeal lithotripsy by any method add
|
$97.90 | |||
E819
diagnostic ureteroscopy of second ureter, to Z628 add
|
$55.75 | |||
E820
with biopsy of one or more sites in ureter and/or pelvis using ureteroscope add
|
$50.75 | |||
E822
ureteroscopy to upper third of ureter or renal pelvis add
|
$38.45 | |||
E823
resection and fulgarization of one or more ureteral or renal pelvic tumours add
|
$238.35 | |||
E824
with bladder biopsy general anaesthetic add
|
$50.85 | |||
Z629 | Percutaneous nephrostomy | $156.45 | ||
Z630 | Extracorporeal shock wave lithotripsy | $320.50 | ||
Z631 | Fine needle aspiration of renal transplant | $46.05 | ||
Z636 | Endoscopic ureterotomy or pyelotomy | $278.75 | ||
Z637 | Percutaneous ablation of calyceal diverticulum to include dilation of communication | $268.05 | ||
Z638 | Endoscopic treatment of vesicoureteral reflux by subureteral injection of agent, unilateral or bilateral | $459.05 | ||
Z638 | Endoscopic treatment of vesicoureteral reflux by subureteral injection of agent, unilateral or bilateral | $459.05 |
The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.
OHIP Billing Codes
-
- Family Practice & Practice In General (00)
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- Internal And Occupational Medicine (13)
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- Genetics (22)
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- Infectious Disease (46)
- Laboratory Medicine (28)
- Physical Medicine & Rehabilitation (31)
- Diagnostic Radiology (33)
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- Medical Oncology (44)
- Respiratory Disease (47)
- Rheumatology (48)
- Clinical Immunology (62)
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- General Thoracic Surgery (64)
- Emergency Medicine
-
- Head And Neck
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- Upper Extremities
- Skeletal Surveys
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- Special Examinations
- Computed Tomography (CT)
- Genitourinary Tract
- Bone Mineral Density (BMD) Measurement
- Obstetrics And Gynaecology
- Miscellaneous Examinations
- Fluoroscopy By Physician With Or Without Spot Films
-
- Laboratory Medicine
- Nerve Blocks For Acute Pain Management
- Injections And Infusions
- Dialysis
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- NonInvasive Cardiography
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- Gynaecology
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- Anaesthesia
-
- Fractures Of The Spine
- Anterior Spinal Decompression
- Posterior Spinal Decompression
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Arthrodesis As Sole Procedure
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Procedures Involving Neural Elements
- Anterior Spinal Arthrodesis Following Decompression
- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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