OHIP Billing Codes
Specialty: Premium
Category: All
Filter by section
Code | Description | Tech | Prof | Anes | Asst | Fee |
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E424 | - assessment of paediatric patient with amblyopia - add | 0 | $50.00 | |||
A233
Specific assessment
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$57.70 | |||||
E519 | - each additional polyp (10 mm - 19 mm) - add | 0 | $77.50 | |||
Z517
Excision of first polyp (10 mm to 19 mm)
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$150.15 | |||||
E518 | - each additional polyp (20 mm - 29 mm) - add | 0 | $77.50 | |||
Z516
Excision of first polyp (20 mm to 29 mm)
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$150.15 | |||||
E520 | - each additional polyp (6 mm - 9 mm) - add | 0 | $77.50 | |||
Z518
All Codes
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$150.15 | |||||
E827 | - repair of defect (> 10 cm) with component separation - add | 0 | $600.00 | |||
S340
Congenital diaphragmatic hernia - Ventral post-operative
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$370.95 | |||||
E829 | - repair of defect (5-10 cm) with component separation - add | 0 | $300.00 | |||
S340
Congenital diaphragmatic hernia - Ventral post-operative
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$370.95 | |||||
E877 | - repeat strabismus procedure(s) - add 30% | 0 | ||||
E182
Stabismus procedures - Trasposition of extraocular muscle to treat paretic or lost, damaged eye muscle
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$600.00 | |||||
E175 | - therapeutic paracentsis done in conjuction - add | 0 | $20.00 | |||
E147
Anterior vitrectomy - Intravitreal injection of medication for the treatment of wet macular degeneration
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$90.00 | |||||
E521 | - when done in conjuction with another procedure - add | 0 | $200.00 | |||
R740
Left atrial appendage occlusion/excision by suture of device, sole procedure
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$400.00 | |||||
M112 | - when performed thorascopically, by video-assisted thoracic surgery (VATS), by robotic-assisted surgery, or by uniportal approach - add 35% | 0 | ||||
M106
Chest wall reconstruction - Mediastinal tumour
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$1,004.00 | |||||
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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 | 0 | $299.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
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$97.35 | |||||
E379 | - 2D stereotactic spinal procedure - add | 0 | $510.00 | |||
N528
Cervical - with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass)
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$1,020.00 | |||||
E378 | - 3D stereotactic spinal procedure - add | 0 | $510.00 | |||
N528
Cervical - with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass)
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$1,020.00 | |||||
K187 | - acute post-discharge community psychiatric care - add 15% | 0 | ||||
K195
Family psychotherapy - out-patients (two or more members) - per unit
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$101.75 | |||||
E837 | - additional biopsy(s) performed by EBUS, to a maximum of 3 - add | 0 | $50.75 | |||
G050
Bronchoscopy - Endobronchial ultrasound (EBUS), for guided biopsy of hilar and/or mediastinal lymph nodes
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$203.05 | |||||
G549 | - additional implantation site(s) (maximum 1 per patient) | 0 | $157.85 | |||
G547
Clinical Programming of Deep Brain Stimulator (DBS) includes one or more visits for DBS checking, minor and major DBS adjustments, and intensive programming. First implantation site (maximum 1 per patient)
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$185.70 | |||||
E640 | - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add | 0 | $179.55 | |||
E894 | - aneurysm greater than 2.5 cm - add | 0 | $229.55 | |||
N122
Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel
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$2,140.15 | |||||
E622 | - any bronchoscopic procedure for patients under 3 years of age - add | 0 | $79.40 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
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$124.90 | |||||
J809 | - application of SPECT (maximum 2 per examination) - add | 0 | $23.65 | |||
J808
Myocardial Perfusion Scintigraphy - delayed
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J866 | - application of SPECT), maximum 1 per exam - add | 0 | $23.65 | |||
J807
Myocardial Perfusion Scintigraphy - resting, immediate post stress
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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% | 0 | ||||
N188
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve
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$153.70 | |||||
E906 | - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40% | 0 | ||||
N188
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve
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$153.70 | |||||
E802 | - biopsy or fine needle aspiration, to a maximum of 3, per lesion - add | 0 | $50.75 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
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$203.05 | |||||
E532 | - both tibial plateaus, same knee - add 50% | 0 | ||||
F081
Fractures - Intramedullary nail with distal and proximal locking screws - medialor lateral tibial plateau
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$660.00 | |||||
J708 | - cardiac PET with quantitative analysis - add 0% | 0 | ||||
J707
Cardiac PET using fluorodeoxyglucose (FDG) - cardiac PET
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$237.50 | |||||
E544 | - Cast-bracing w/ closed reduction to closed reduction fee - add 40% | 0 | ||||
E547
Methyl methacrylate (not arthroplasty)
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$59.40 | |||||
E078 | - chronic disease assessment premium (see General Preamble GP116) - add 50% | 0 | ||||
G329 | - each additional bursa or complex joint, to a maximum of 2 | 0 | $20.25 | |||
G328
Aspiration of bursa or complex joint, with or without injection
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$39.80 | |||||
G371 | - each additional bursa, joint, ganglion or tendon sheath, to a maximum of 5 | 0 | $19.90 | |||
G370
Injection of bursa, or injection and/or aspiration of joint, ganglion or tendon sheath
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$20.25 | |||||
E541 | - each additional expander (to a maximum of 3) | 0 | $11.55 | |||
Z137
Percutaneous inflation of first tissue expander
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$23.05 | |||||
G876 | - each additional injection to a maximum of 11 - add | 0 | $10.00 | |||
G875
Botulinum toxin injection for the following conditions: Oromandibular dystonia, limb dystonia, cervical dystonia or spasticity - First injection
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$40.00 | |||||
Code no longer active
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- each additional polyp (maximum of 4) - add | 0 | $24.75 | |||
Z570
Fulguration of first polyp through colonoscope
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E720 | - each additional polyp greater than or equal to 3mm (maximum of 2) - add | 0 | $77.50 | |||
Z571
Excision of first polyp greater than or equal to 3mm through colonoscope
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$150.15 | |||||
E799 | - each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) - add | 0 | $25.25 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
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$68.25 | |||||
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) | 0 | $17.10 | |||
G264
Occipital nerve - first block per day (maximum 1 per day to a maximum of 16 first blocks per calendar year)
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$34.10 | |||||
G292 | - each additional unilateral block following G291 per spinal level per day when G291 is payable in full (maximum 3 per day) | 0 | $10.00 | |||
G264
Occipital nerve - first block per day (maximum 1 per day to a maximum of 16 first blocks per calendar year)
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$34.10 | |||||
E608 | - each additional wedge resection of lung (to a maximum of 3) - add | 0 | $84.15 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
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$534.10 | |||||
E630 | - endoscopic placement of stent in colon, - add | 0 | $137.05 | |||
Z491
Follow up of incomplete polyp resection
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$51.95 | |||||
E386 | - extradural decompression - spinal cord or cauda equina - tumour or infection - add 42% | 0 | ||||
N553
Simple soft tissue tumour excision under 5cm
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$204.00 | |||||
E983 | - following previous glaucoma filtering procedure - add 25% | 0 | ||||
E132
Glaucoma filtering procedures
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$550.00 | |||||
G123 | - for each additional one (to a maximum of 4) - add | 0 | $17.10 | |||
G228
Paravertebral nerve block of cervical, thoracic or lumbar or sacral or coccygealnerves
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$34.10 | |||||
E601 | - for each additional rib (more than 3) to a maximum of 3 additional - add | 0 | $57.50 | |||
M107
Chest wall reconstruction - Total sternectomy
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$812.25 | |||||
E605 | - for each additional rib (more than 3) to a maximum of 3 additional - add | 0 | $55.60 | |||
M111
Thoracoplasty - one stage
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$304.20 | |||||
G385 | - for each additional site (to a maximum of 2) - add | 0 | $4.55 | |||
G384
Infiltration of tissues for trigger point
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$8.85 | |||||
E373 | - for repeat decompression - add 30% | 0 | ||||
N541
Removal of posterior instrumentation
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$255.00 | |||||
E375 | - for repeat fusion - add 30% | 0 | ||||
N541
Removal of posterior instrumentation
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$255.00 | |||||
E374 | - foramen magnum decompression < 3cm as part of cervical decompression - add | 0 | $357.00 | |||
N510
Cervical / Thoracic - One level - bilateral
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$1,208.70 | |||||
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 | 0 | $500.00 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
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$1,879.00 | |||||
K188 | - high risk community psychiatric care - add 15% | 0 | ||||
A190
Special psychiatric consultation
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$310.45 | |||||
G556 | - ICU/ NICU admission assessment is an initial visit rendered during night time (00:0007: 00) - add | 0 | $136.40 | |||
G400
Physician-in-charge - 1st day
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$223.10 | |||||
E540 | - if excision is performed in hospital for tumour free margin with frozen section - add 25% | 0 | ||||
R010
Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure
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$124.10 | |||||
E977 | - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees - add 25% | 0 | ||||
E222
Primary closure of full thickness lid defect
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$290.00 | |||||
E530 | - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add | 0 | ||||
Z176
Repair of lacerations - up to 5 cm
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$20.00 | |||||
E911 | - implantation of neuroma into bone or muscle - add 40% | 0 | ||||
N286
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve
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$317.85 | |||||
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% | 0 | ||||
Z102
Abscess or haematoma - General anaesthetic - subcutaneous - one
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$44.35 | |||||
E919 | - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add | 0 | $254.45 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
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$1,879.00 | |||||
E451 | - J315 plus 12 lead e.c.g. done at rest, used for monitoring - add | 0 | $25.05 | |||
J315
Stage i: graded exercise to maximum tolerance
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E793 | - laparoscopic or laparoscopic assisted - add 25% | 0 | ||||
S128
Total gastrectomy - with or without splenectomy
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$1,235.00 | |||||
E902 | - lesion greater than 2 cm diameter - add | 0 | $454.15 | |||
N102
Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial
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$1,862.85 | |||||
E898 | - lesion greater than 2.5 cm - add | 0 | $283.80 | |||
N105
Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel
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$2,477.45 | |||||
Code no longer active
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- lumbar puncture using image guidance following a failed blind attempt - add 25% | 0 | ||||
Z804
Lumbar puncture
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$150.00 | |||||
E489 | - microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add | 0 | $250.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
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$97.35 | |||||
E785 | - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add | 0 | $54.25 | |||
Z491
Follow up of incomplete polyp resection
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$51.95 | |||||
E895 | - of cerebral arteriovenous malformation greater than 4 cm - add | 0 | $373.80 | |||
N106
Cerebral vascular malformation - Craniotomy - supratentorial
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$2,006.05 | |||||
E481 | - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add | 0 | $500.00 | |||
R683
Elbow arthroscopy setup, includes when rendered debridement, synovectomy, synovial biopsy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/or arthroscopic epicondylar release
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$400.00 | |||||
E490 | - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add | 0 | $500.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
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$669.80 | |||||
E826 | - percutaneous pinning - add 75% | 0 | ||||
F005
Fractures - Phalanx - closed reduction
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$99.25 | |||||
E569 | - percutaneous pinning, to closed reduction fee - add 50% | 0 | ||||
F005
Fractures - Phalanx - closed reduction
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$99.25 | |||||
E060 | - post renal transplant assessment premium - add 25% | 0 | ||||
A163
Medical specific assessment
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$80.95 | |||||
E607 | - re-operation more than 30 days subsequent to previous excision, to appropriate excision fee - add | 0 | $152.30 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
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$534.10 | |||||
E623 | - repeat operation after 30 days - add | 0 | $415.15 | |||
M099
Segmental resection of cervical trachea
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$918.60 | |||||
E726 | - repeat recurrent inguinal hernia (more than 2 repairs) - add | 0 | $226.00 | |||
S322
Herniotomy - Inguinal and/or femoral - infants
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$487.50 | |||||
E564 | - revision of arthroplasty - add 35% | 0 | ||||
R437
Wrist - interposition
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$374.00 | |||||
E058 | - revision/repair following previous glenohumeral joint surgery - add 30% | 0 | ||||
R401
Dislocations - Glenohumeral joint - open reduction, recurrent
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$419.65 | |||||
E059 | - revision/repair following previous reconstruction of knee ligaments - add 30% | 0 | ||||
R542
Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch
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$517.85 | |||||
E057 | - revision/repair following previous rotator cuff surgery - add 30% | 0 | ||||
R594
Muscles/soft tissues - Rotator cuff repair - complex (includes implantation into bone, and as required, acromioplasty, excision of coracoacromial ligament, subacromial bursa and excision of distal clavicle)
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$498.30 | |||||
E555 | - rigid external fixation for closed reduct to closed reduction fee - add 50% | 0 | ||||
R267
Removal of internal fixation device - general anaesthetic
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$158.65 | |||||
J022 | - selective catheterization - add to catheter insertion fee (per vessel, to maximum of 4) - add | 0 | $60.15 | |||
J021
By catheterization - abdominal, thoracic, cervical or cranial - insertion of catheter (including cut down, if necessary) and injection, if given
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$121.40 | |||||
E411 | - sole delivery (max 25/yr/physician) - add 100% | 0 | ||||
E483 | - synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add | 0 | $326.55 | |||
R682
Wrist arthroscopy setup
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$400.00 | |||||
E685 | - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add | 0 | $227.65 | |||
Z765
Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater
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$131.75 | |||||
E831 | - use of skin grafts, or revision surgery (with or without skin grafts) - add 30% | 0 | ||||
R549
Soft tissue - Ganglion Simple or complex
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$177.80 | |||||
E445 | - when alcohol or other sclerosing solutions are used - add 50% | 0 | ||||
G920
Percutaneous cervical sympathetic nerve block or Stellate ganglion block - with ultrasound or fluoroscopic guidance, unilateral
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$80.00 | |||||
E958 | - when alcohol or other sclerosing solutions are used, the appropriate nerve block fees as listed above - add 50% | 0 | ||||
G214
Brachial plexus
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$54.65 | |||||
X486 | - when cardiac gating is preformed - add 30% | 0 | ||||
X496
Multislice s.e. (1 or 2 echoes)
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$101.65 | |||||
E792 | - when performed laparoscopically - add 25% | 0 | ||||
S403
Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst)
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$356.70 | |||||
E862 | - when performed laparoscopically - add 25% | 0 | ||||
S549
Retropubic urethropexy for stress incontinence - primary procedure
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$391.55 | |||||
E863 | - when performed laparoscopically - add 25% | 0 | ||||
S730
Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - vaginal surgeon
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$330.50 | |||||
E683 | - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28% | 0 | ||||
M106
Chest wall reconstruction - Mediastinal tumour
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$1,004.00 | |||||
E845 | - when performed using a 3D CT/MRI image guided system - add | 0 | $140.00 | |||
E982 | - when service is rendered to newborn, infant or child (ages 0 to 15 inclusive) - add 30% | 0 | ||||
Z850
When sole procedure or with unlisted minor procedures with general anaesthesia
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$200.00 | |||||
J819 | - where each SPECT image represents a different organ or body area, maximum 3 images per examination - add | 0 | $24.65 | |||
J852
Gallium scintigraphy - general survey
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E857 | - with D&C - add | 0 | $78.45 | |||
Z552
Peritoneoscopy, culdoscopy or laparoscopy - without biopsy
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$149.65 | |||||
E681 | - with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) - add | 0 | $43.60 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
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$213.15 | |||||
E680 | - with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) - add | 0 | $82.35 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
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$213.15 | |||||
E702 | - with multiple (3 or more) biopsies of specific lesion - add | 0 | $15.10 | |||
E444 | - with radiofrequency ablation - add 50% | 0 | ||||
G233
Percutaneous celiac, splanchnic or hypogastric ganglion/plexus block withfluoroscopic guidance
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$200.00 | |||||
E752 | - with repeat surgery on kidney at least 30 days after previous kidney surgery - add | 0 | $83.25 | |||
Z601
Renal biopsy, needle
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$143.55 | |||||
E637 | - with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site - add | 0 | $76.45 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
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$124.90 | |||||
E674 | - with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add | 0 | $142.40 | |||
Z527
Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm
|
$82.90 | |||||
E675 | - with snare polypectomy each additional polyp > 1 cm (maximum 2) - add | 0 | $73.50 | |||
Z527
Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm
|
$82.90 | |||||
E703 | - with snare polypectomy first polyp (> 1 cm) - add | 0 | $50.50 | |||
E388 | #NAME? | 0 | $204.00 | |||
F200
No reduction, brace (includes Halo orthosis), total care by operating surgeon
|
$178.50 | |||||
E722 | #NAME? | 0 | $162.70 | |||
S287
Cholecystectomy
|
$478.00 | |||||
E389 | #NAME? | 0 | $102.00 | |||
N540
Posterior scoliosis correction up to six levels (includes approach, disc excision and instrumentation)
|
$2,805.00 | |||||
E723 | #NAME? | 0 | $284.80 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
G285 | #NAME? | 0 | $32.90 | |||
Z439
Right heart - pressures only
|
$166.90 | |||||
E390 | #NAME? | 0 | $255.00 | |||
N539
Anterior scoliosis correction any number of levels (includes approach, disc excision and instrumentation)
|
$3,060.00 | |||||
E724 | #NAME? | 0 | $23.25 | |||
Z591
Aspiration - with therapeutic drainage with or without diagnostic sample
|
$57.65 | |||||
G286 | #NAME? | 0 | $32.90 | |||
Z439
Right heart - pressures only
|
$166.90 | |||||
E391 | #NAME? | 0 | $252.95 | |||
N570
Vertebroplasty (injection of bone cement) as sole procedure, first level
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$655.25 | |||||
E725 | #NAME? | 0 | $130.00 | |||
S345
Congenital diaphragmatic hernia - Massive sliding inguinal hernia
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$431.35 | |||||
E392 | #NAME? | 0 | $510.00 | |||
F200
No reduction, brace (includes Halo orthosis), total care by operating surgeon
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$178.50 | |||||
E393 | #NAME? | 0 | $510.00 | |||
N583
Kyphoplasty (balloon tamp and injection of bone cement) as sole procedure, first level
|
$1,201.55 | |||||
E727 | #NAME? | 0 | $65.90 | |||
S342
Congenital diaphragmatic hernia - Epigastric
|
$239.20 | |||||
E394 | #NAME? | 0 | $765.00 | |||
N526
Artificial Disc Insertion - Artificial disc insertion (includes approach)
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$2,040.00 | |||||
E728 | #NAME? | 0 | $167.65 | |||
S287
Cholecystectomy
|
$478.00 | |||||
E395 | #NAME? | 0 | $306.00 | |||
N572
Open reduction, any single level, spine fracture/dislocation, anterior/posterior
|
$1,020.00 | |||||
E729 | #NAME? | 0 | $284.75 | |||
S287
Cholecystectomy
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$478.00 | |||||
E396 | #NAME? | 0 | $71.40 | |||
N566
Repair of anterior sacral meningocoele including release of tethered cord
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$1,020.00 | |||||
E732 | #NAME? | 0 | $29.10 | |||
Z540
Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy
|
$79.80 | |||||
E733 | #NAME? | 0 | $142.40 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E734 | #NAME? | 0 | $211.15 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E735 | #NAME? | 0 | $284.75 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E736 | #NAME? | 0 | $187.90 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E737 | #NAME? | 0 | $82.35 | |||
S151
Enterotomy - Insertion of feeding enterostomy
|
$356.50 | |||||
E738 | #NAME? | 0 | $387.40 | |||
S168
Ileostomy - subtotal colectomy
|
$1,260.40 | |||||
E739 | #NAME? | 0 | $122.05 | |||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E740 | #NAME? | 0 | $51.75 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E741 | #NAME? | 0 | $31.15 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E742 | #NAME? | 0 | $217.35 | |||
S091
Oesophageal hiatus hernia - abdominal or transthoracic approach with fundal plication
|
$750.00 | |||||
E743 | #NAME? | 0 | $153.05 | |||
S281
Choledochoduodenostomy or choledochoenterostomy or choledochocholechostomy
|
$721.70 | |||||
E744 | #NAME? | 0 | $115.80 | |||
S091
Oesophageal hiatus hernia - abdominal or transthoracic approach with fundal plication
|
$750.00 | |||||
E414 | #NAME? | 0 | $62.05 | |||
P006
Vaginal
|
$498.70 | |||||
E745 | #NAME? | 0 | $94.85 | |||
Z563
Needle biopsy of peritoneum
|
$48.00 | |||||
E746 | #NAME? | 0 | $5.85 | |||
Z535
Sigmoidoscopy with or without anoscopy - with rigid scope
|
$36.80 | |||||
E747 | #NAME? | 0 | $31.15 | |||
Z512
Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy
|
$36.80 | |||||
E423 | #NAME? | 0 | $25.00 | |||
A233
Specific assessment
|
$57.70 | |||||
E748 | #NAME? | 0 | $122.05 | |||
S318
Panniculectomy, including any necessary diastasis repair
|
$500.00 | |||||
E749 | #NAME? | 0 | $22.35 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E430 | #NAME? | 0 | $11.95 | |||
G365
Papanicolaou smear - periodic
|
$12.00 | |||||
E750 | #NAME? | 0 | $26.05 | |||
Z480
Cystotomy with trochar and cannula and insertion of tube
|
$85.30 | |||||
E431 | #NAME? | 0 | $11.95 | |||
G394
Papanicolaou smear - additional
|
$12.00 | |||||
E751 | #NAME? | 0 | $54.70 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E440 | #NAME? | 0 | $30.00 | |||
G246
Lumbar
|
$150.00 | |||||
E441 | #NAME? | 0 | $16.60 | |||
G246
Lumbar
|
$150.00 | |||||
E753 | #NAME? | 0 | $241.20 | |||
S436
Donor nephrectomy unilateral or bilateral (to include renal perfusion with hypothermia when rendered by surgeon)
|
$653.20 | |||||
E442 | #NAME? | 0 | $20.00 | |||
G246
Lumbar
|
$150.00 | |||||
E754 | #NAME? | 0 | $57.50 | |||
S422
Pyeloplasty (with or without nephropexy)
|
$907.00 | |||||
E443 | #NAME? | 0 | $80.00 | |||
G246
Lumbar
|
$150.00 | |||||
E755 | #NAME? | 0 | $69.30 | |||
S597
Hypospadias or Epispadia - Penile prosthesis for impotence
|
$395.90 | |||||
E756 | #NAME? | 0 | $24.50 | |||
S322
Herniotomy - Inguinal and/or femoral - infants
|
$487.50 | |||||
E757 | #NAME? | 0 | $55.25 | |||
S322
Herniotomy - Inguinal and/or femoral - infants
|
$487.50 | |||||
E446 | #NAME? | 0 | $30.00 | |||
G370
Injection of bursa, or injection and/or aspiration of joint, ganglion or tendon sheath
|
$20.25 | |||||
E758 | #NAME? | 0 | $217.35 | |||
S161
Oesophageal myotomy, partial (below aortic arch)
|
$584.15 | |||||
E450 | #NAME? | 0 | $8.05 | |||
J315
Stage i: graded exercise to maximum tolerance
|
||||||
E759 | #NAME? | 0 | $95.95 | |||
Z627
Removal of renal calculi
|
$168.25 | |||||
E760 | #NAME? | 0 | $167.85 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E761 | #NAME? | 0 | $95.95 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E476 | #NAME? | 0 | $192.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E762 | #NAME? | 0 | $301.05 | |||
S435
Kidney transplant
|
$1,553.15 | |||||
E477 | #NAME? | 0 | $192.00 | |||
R688
Ankle arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture and/or synovial biopsy
|
$400.00 | |||||
E764 | #NAME? | 0 | $24.20 | |||
S332
Herniotomy - Umbilical - adolescent or adult
|
$300.00 | |||||
E478 | #NAME? | 0 | $251.55 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E765 | #NAME? | 0 | $300.45 | |||
S294
Liver transplant - Deceased donor, liver transplant
|
$2,748.75 | |||||
E479 | #NAME? | 0 | $192.00 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E766 | #NAME? | 0 | $29.70 | |||
S412
Nephrectomy - ectopic kidney
|
$467.00 | |||||
E041 | #NAME? | 0 | $81.55 | |||
R326
Pseudoarthrosis - Tibia/fibula
|
$696.00 | |||||
E480 | #NAME? | 0 | $350.65 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E767 | #NAME? | 0 | $138.15 | |||
S412
Nephrectomy - ectopic kidney
|
$467.00 | |||||
E048 | #NAME? | 0 | $108.75 | |||
R328
Pseudoarthrosis - Hip
|
$872.65 | |||||
E768 | #NAME? | 0 | $236.70 | |||
S412
Nephrectomy - ectopic kidney
|
$467.00 | |||||
E049 | #NAME? | 0 | $87.20 | |||
R571
Muscles/tendons - Lengthening of hamstrings - Tendon or muscle transfer
|
$307.15 | |||||
E482 | #NAME? | 0 | $251.55 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E769 | #NAME? | 0 | $260.05 | |||
S435
Kidney transplant
|
$1,553.15 | |||||
E050 | #NAME? | 0 | $77.05 | |||
R557
Tendon - Tenoplasty - one
|
$223.65 | |||||
E770 | #NAME? | 0 | $23.10 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E051 | #NAME? | 0 | $245.90 | |||
R554
Tendon - Silicone rod insertion - one
|
$294.20 | |||||
E484 | #NAME? | 0 | $336.65 | |||
R684
Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/ or synovial biopsy
|
$400.00 | |||||
E771 | #NAME? | 0 | $343.40 | |||
S434
Kidney re-transplant
|
$1,858.15 | |||||
E052 | #NAME? | 0 | $259.85 | |||
R559
Tendon - Tendon graft - one
|
$306.30 | |||||
E485 | #NAME? | 0 | $240.50 | |||
R684
Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/ or synovial biopsy
|
$400.00 | |||||
E772 | #NAME? | 0 | $175.50 | |||
Z627
Removal of renal calculi
|
$168.25 | |||||
L823 | #NAME? | 0 | $38.25 | |||
L822
Anatomic Pathology - Surgical Pathology - Operative consultation, with or without frozen section
|
$77.20 | |||||
E053 | #NAME? | 0 | $94.60 | |||
R560
Tendons - Tendon transfer foot and ankle - Graft
|
$253.30 | |||||
E487 | #NAME? | 0 | $240.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
|
$669.80 | |||||
E773 | #NAME? | 0 | $49.90 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E054 | #NAME? | 0 | $236.10 | |||
R563
Tendon - Transplant/transfer - single
|
$284.95 | |||||
E488 | #NAME? | 0 | $350.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
|
$669.80 | |||||
E775 | #NAME? | 0 | $15.35 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E055 | #NAME? | 0 | $94.60 | |||
R565
Tendons - Tendon transfer foot and ankle - single
|
$253.30 | |||||
E776 | #NAME? | 0 | $24.90 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E056 | #NAME? | 0 | $91.90 | |||
R563
Tendon - Transplant/transfer - single
|
$284.95 | |||||
E777 | #NAME? | 0 | $11.50 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E491 | #NAME? | 0 | $161.45 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E780 | #NAME? | 0 | $32.60 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E492 | #NAME? | 0 | $231.30 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E781 | #NAME? | 0 | $49.90 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E782 | #NAME? | 0 | $49.90 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E783 | #NAME? | 0 | $99.65 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
L831 | #NAME? | 0 | $49.35 | |||
L816
Special Procedures and Interpretation - Histology or Cytology - Electron microscopy by TEM, STEM or SEM technique
|
$97.95 | |||||
E069 | #NAME? | 0 | $134.75 | |||
R070
Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger
|
$293.75 | |||||
E495 | #NAME? | 0 | $240.45 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E784 | #NAME? | 0 | $49.85 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E496 | #NAME? | 0 | $336.65 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E497 | #NAME? | 0 | $526.40 | |||
R322
Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid
|
$588.20 | |||||
E786 | #NAME? | 0 | $99.70 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E787 | #NAME? | 0 | $260.40 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
L835 | #NAME? | 0 | $15.60 | |||
L834
Special Procedures and Interpretation - Histology or Cytology - Histochemistry of muscle - 1 to 3 enzymes
|
$15.60 | |||||
E499 | #NAME? | 0 | $397.75 | |||
P018
Caesarean section
|
$579.80 | |||||
E788 | #NAME? | 0 | $99.70 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E500 | #NAME? | 0 | $148.60 | |||
P006
Vaginal
|
$498.70 | |||||
E789 | #NAME? | 0 | $99.70 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E501 | #NAME? | 0 | $304.30 | |||
S013
Cleft lip - unilateral
|
$363.30 | |||||
E790 | #NAME? | 0 | $8.80 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E791 | #NAME? | 0 | $26.00 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
G877 | #NAME? | 0 | $18.85 | |||
G870
Botulinum toxin injection(s) of extraocular muscle(s), (unilateral)
|
$120.00 | |||||
E503 | #NAME? | 0 | $26.85 | |||
F006
Fractures - Intra-articular - closed reduction
|
$119.75 | |||||
G878 | #NAME? | 0 | $28.10 | |||
G870
Botulinum toxin injection(s) of extraocular muscle(s), (unilateral)
|
$120.00 | |||||
L842 | #NAME? | 0 | $8.45 | |||
L817
Special Procedures and Interpretation - Histology or Cytology - Anti-tissueantibodies and interpretation - per case
|
$6.05 | |||||
E090 | #NAME? | 0 | $260.80 | |||
S745
Oophorectomy - and/or oophorocystectomy
|
$366.20 | |||||
E504 | #NAME? | 0 | $22.20 | |||
F009
Fractures - Metacarpal - closed reduction
|
$99.25 | |||||
G879 | #NAME? | 0 | $18.85 | |||
G870
Botulinum toxin injection(s) of extraocular muscle(s), (unilateral)
|
$120.00 | |||||
E505 | #NAME? | 0 | $178.05 | |||
R108
Mastectomy - female (with or without biopsy) - simple
|
$330.00 | |||||
E794 | #NAME? | 0 | $35.85 | |||
S287
Cholecystectomy
|
$478.00 | |||||
G880 | #NAME? | 0 | $28.10 | |||
G870
Botulinum toxin injection(s) of extraocular muscle(s), (unilateral)
|
$120.00 | |||||
E508 | #NAME? | 0 | $85.00 | |||
D028
Dislocations - Tarsus - Tarsometatarsal - open reduction, one joint
|
$388.20 | |||||
E795 | #NAME? | 0 | $46.30 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E509 | #NAME? | 0 | $805.65 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E796 | #NAME? | 0 | $102.40 | |||
S167
Resection with anastomosis - Large intestine any portion
|
$877.95 | |||||
E510 | #NAME? | 0 | $838.15 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E797 | #NAME? | 0 | $46.30 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E511 | #NAME? | 0 | $100.00 | |||
R695
Subtalar
|
$627.35 | |||||
E798 | #NAME? | 0 | $69.70 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E512 | #NAME? | 0 | $100.00 | |||
R696
Midtarsal, single joint
|
$500.00 | |||||
G913 | #NAME? | 0 | $20.00 | |||
G910
Vertebral facet injections - Cervical, first site
|
$80.00 | |||||
E513 | #NAME? | 0 | $297.50 | |||
R118
Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps
|
$405.60 | |||||
E800 | #NAME? | 0 | $101.50 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
|
$203.05 | |||||
E514 | #NAME? | 0 | $200.00 | |||
R125
Elevation of free island skin and muscle flap and closure of defect
|
$874.60 | |||||
E801 | #NAME? | 0 | $152.30 | |||
S237
Linear or radial echo-endoscope - including biliary and/or pancreatic examination (scope also used for therapeutic procedures)
|
$253.80 | |||||
G915 | #NAME? | 0 | $14.00 | |||
G914
Percutaneous diagnostic lumbar facet medial branch block with ultrasound guidance - First site
|
$56.00 | |||||
E803 | #NAME? | 0 | $30.65 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
|
$203.05 | |||||
E804 | #NAME? | 0 | $145.05 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
|
$203.05 | |||||
E805 | #NAME? | 0 | $203.05 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
|
$203.05 | |||||
E807 | #NAME? | 0 | $2,644.75 | |||
S197
Multivisceral transplant - recipient, without evisceration
|
$7,934.35 | |||||
E523 | #NAME? | 0 | $321.00 | |||
R005
Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius
|
$545.00 | |||||
E808 | #NAME? | 0 | $150.00 | |||
S169
Resection with anastomosis - Total colectomy with ileorectal anastomosis
|
$1,313.65 | |||||
E524 | #NAME? | 0 | $273.45 | |||
R081
MOHS Micrographic Surgery - Initial cut, including debulking
|
$315.45 | |||||
E809 | #NAME? | 0 | $250.00 | |||
S318
Panniculectomy, including any necessary diastasis repair
|
$500.00 | |||||
E525 | #NAME? | 0 | $48.05 | |||
R107
Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast)
|
$169.95 | |||||
E815 | #NAME? | 0 | $398.15 | |||
R878
Subintimal dissection for recanalization of femoral/popiteal/ tibial arterial occlusive disease
|
$759.60 | |||||
E527 | #NAME? | 0 | $58.95 | |||
Z132
Insertion of tissue expander
|
$304.10 | |||||
E817 | #NAME? | 0 | $15.35 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E528 | #NAME? | 0 | $258.50 | |||
Z132
Insertion of tissue expander
|
$304.10 | |||||
E818 | #NAME? | 0 | $24.90 | |||
Z606
Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy
|
$71.85 | |||||
E529 | #NAME? | 0 | $102.45 | |||
R118
Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps
|
$405.60 | |||||
E819 | #NAME? | 0 | $54.65 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E820 | #NAME? | 0 | $49.75 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E822 | #NAME? | 0 | $37.70 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E537 | #NAME? | 0 | $165.20 | |||
R575
Tendon - Tenolysis flexor and/or extensor tendon of - one digit
|
$194.05 | |||||
E823 | #NAME? | 0 | $233.65 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E538 | #NAME? | 0 | $38.00 | |||
R456
Metatarsophalyngeal interposition - single
|
$144.80 | |||||
E824 | #NAME? | 0 | $49.85 | |||
Z628
Cystoscopy and diagnostic Ureteroscopy - above intramural
|
$125.70 | |||||
E539 | #NAME? | 0 | $117.85 | |||
R503
Ankle - removal of loose body, etc.
|
$167.10 | |||||
E825 | #NAME? | 0 | $63.95 | |||
F136
Fractures - Nasal bones to include manipulation of nasal septum - closed reduction
|
$102.35 | |||||
E542 | #NAME? | 0 | $11.55 | |||
Z722
Biopsy(ies) - when sole procedure - local anaesthetic
|
$39.60 | |||||
E828 | #NAME? | 0 | $104.00 | |||
F139
Mandible - open reduction, per fracture, to include intermaxillary fixation
|
$575.00 | |||||
E543 | #NAME? | 0 | $30.60 | |||
G877
#NAME?
|
$18.85 | |||||
E830 | #NAME? | 0 | $107.20 | |||
F150
Fractures - Orbit with maxilla - closed reduction and dental wiring
|
$256.40 | |||||
E136 | #NAME? | 0 | $290.00 | |||
E132
Glaucoma filtering procedures
|
$550.00 | |||||
E545 | #NAME? | 0 | $11.55 | |||
S626
Vasectomy - uni - or bilateral - by any technique
|
$107.40 | |||||
E546 | #NAME? | 0 | $388.75 | |||
R111
Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease
|
$269.40 | |||||
E832 | #NAME? | 0 | $273.85 | |||
R551
Soft tissue - Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps
|
$322.15 | |||||
E833 | #NAME? | 0 | $116.10 | |||
G117
Thoracic
|
$170.00 | |||||
E550 | #NAME? | 0 | $63.15 | |||
Z783
Secondary closure
|
$97.35 | |||||
E551 | #NAME? | 0 | $86.30 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E838 | #NAME? | 0 | $79.40 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E552 | #NAME? | 0 | $58.45 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E839 | #NAME? | 0 | $19.20 | |||
Z311
Removal of foreign body - local anaesthetic
|
$10.55 | |||||
E553 | #NAME? | 0 | $25.15 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E840 | #NAME? | 0 | $119.20 | |||
M012
Septoplasty
|
$293.95 | |||||
E841 | #NAME? | 0 | $226.80 | |||
M014
Septorhinoplasty
|
$541.65 | |||||
E842 | #NAME? | 0 | $58.60 | |||
M014
Septorhinoplasty
|
$541.65 | |||||
E843 | #NAME? | 0 | $103.05 | |||
Z350
Ethmoidectomy/Antrostomy - Endoscopic sphenoidotomy unilateral
|
$123.70 | |||||
E557 | #NAME? | 0 | $154.00 | |||
R398
Medial transnasal canthopexy - unilateral
|
$414.30 | |||||
E844 | #NAME? | 0 | $200.00 | |||
M083
Ethmoidectomy/Antrostomy - Intranasal ethmoidectomy including maxillary antrostomy, with endoscope unilateral (not eligible for payment with M061 or M054)
|
$350.00 | |||||
E558 | #NAME? | 0 | $22.25 | |||
E584
#NAME?
|
$11.15 | |||||
E559 | #NAME? | 0 | $142.90 | |||
F011
Fractures - Metacarpal - open reduction
|
$262.60 | |||||
E846 | #NAME? | 0 | $95.70 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E560 | #NAME? | 0 | $12.05 | |||
F056
Fractures - Phalanx - no reduction rigid immobilization
|
$49.20 | |||||
E847 | #NAME? | 0 | $75.00 | |||
M105
Chest wall tumour, resection of 2 or 3 ribs or cartilages
|
$650.00 | |||||
E561 | #NAME? | 0 | $14.90 | |||
E584
#NAME?
|
$11.15 | |||||
E848 | #NAME? | 0 | $80.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
G417 | #NAME? | 0 | $15.90 | |||
G266
Electrophysiological assessment - of movement disorders includes multi-channel recording of EEG and EMG, rectification, averaging, back averaging, frequency analysis and cross correlation.
|
$278.85 | |||||
E849 | #NAME? | 0 | $220.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E852 | #NAME? | 0 | $49.25 | |||
S784
Ectopic pregnancy - management by any surgical technique
|
$382.10 | |||||
E571 | #NAME? | 0 | $148.75 | |||
R537
Tendon release (open) - Wrist
|
$175.00 | |||||
E853 | #NAME? | 0 | $145.00 | |||
S727
Oophorectomy - Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum
|
$1,081.80 | |||||
E575 | #NAME? | 0 | $41.70 | |||
R471
Interphalangeal
|
$151.85 | |||||
E576 | #NAME? | 0 | $10.25 | |||
D001
Fractures - Dislocations - Finger - closed reduction
|
$57.50 | |||||
E577 | #NAME? | 0 | $10.25 | |||
D004
Fractures - Dislocations - Metacarpal/phalangeal - closed reduction
|
$57.50 | |||||
E578 | #NAME? | 0 | $10.25 | |||
D027
Dislocations - Interphalangeal - closed reduction
|
$57.50 | |||||
E860 | #NAME? | 0 | $131.45 | |||
S784
Ectopic pregnancy - management by any surgical technique
|
$382.10 | |||||
E579 | #NAME? | 0 | $10.25 | |||
D030
Dislocations - Metatarsophalangeal - closed reduction
|
$57.50 | |||||
E861 | #NAME? | 0 | $9.00 | |||
Z770
Endometrial sampling
|
$37.85 | |||||
E580 | #NAME? | 0 | $70.95 | |||
R578
Tendon - Tendon repair extensor - single
|
$164.10 | |||||
E581 | #NAME? | 0 | $128.95 | |||
R585
Tendon - Flexor - single
|
$307.60 | |||||
E582 | #NAME? | 0 | $32.20 | |||
G196
Hypersensitivity skin test for validated drugs or agents excluding foods and inhalants, maximum of 3 per patient per physician per 12 month period
|
$17.00 | |||||
E870 | #NAME? | 0 | $8.35 | |||
G362
Insertion of laminaria tent
|
$6.25 | |||||
E583 | #NAME? | 0 | $94.60 | |||
R608
Metacarpal or metaphalangeal joint
|
$190.20 | |||||
E584 | #NAME? | 0 | $11.15 | |||
Z201
Finger
|
$10.25 | |||||
E874 | #NAME? | 0 | $64.00 | |||
X188
Head - with and without IV contrast
|
||||||
E585 | #NAME? | 0 | $47.30 | |||
R620
Metatarsal/phalanx disarticulation
|
$155.90 | |||||
E875 | #NAME? | 0 | $19.40 | |||
X421
Multislice s.e. (1 or 2 echoes)
|
$73.35 | |||||
G431 | #NAME? | 0 | $41.60 | |||
G424
Contact lens fitting - includes follow-up for 3 months except for patients under 4 years of age at the time of the initial fitting
|
$201.00 | |||||
E876 | #NAME? | 0 | $9.70 | |||
X425
Repeat (another plane, different pulse seq.- to a maximum of 2 repeats)
|
$36.70 | |||||
E587 | #NAME? | 0 | $41.70 | |||
R309
Bone - Metatarsal head
|
$175.45 | |||||
E588 | #NAME? | 0 | $256.40 | |||
R535
Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm
|
$1,356.90 | |||||
E880 | #NAME? | 0 | $184.60 | |||
S793
Thyroidectomy - completion following previous subtotal or hemi-thyroidectomy
|
$650.00 | |||||
E589 | #NAME? | 0 | $101.25 | |||
R241
Revision total arthroplasty hip - one or both components - acetabular or femoral
|
$1,304.80 | |||||
E882 | #NAME? | 0 | $177.40 | |||
M081
Laryngectomy - total
|
$838.90 | |||||
E590 | #NAME? | 0 | $76.10 | |||
R231
Sequestrectomy
|
$355.35 | |||||
E591 | #NAME? | 0 | $158.65 | |||
R258
Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal
|
$193.20 | |||||
E884 | #NAME? | 0 | $374.00 | |||
M081
Laryngectomy - total
|
$838.90 | |||||
E885 | #NAME? | 0 | $106.00 | |||
S796
Exploration and/or removal, parathyroids or parathyroid tumour - if requiring splitting of sternum
|
$687.60 | |||||
E593 | #NAME? | 0 | $194.00 | |||
R241
Revision total arthroplasty hip - one or both components - acetabular or femoral
|
$1,304.80 | |||||
E886 | #NAME? | 0 | $800.00 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,879.00 | |||||
E594 | #NAME? | 0 | $41.70 | |||
R430
Forefoot - Claw and hammer toe
|
$220.30 | |||||
E887 | #NAME? | 0 | $500.00 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,879.00 | |||||
E596 | #NAME? | 0 | $41.70 | |||
R276
Deformity - Osteotomy - metatarsals and phalanx
|
$144.80 | |||||
E888 | #NAME? | 0 | $500.00 | |||
N116
Non-pituitary lesion(s) - Endonasal endoscopic resection of nonpituitary lesion(s) not originating from pituitary tissue requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$2,243.45 | |||||
E597 | #NAME? | 0 | $87.05 | |||
R533
Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles
|
$511.90 | |||||
E889 | #NAME? | 0 | $520.00 | |||
N114
Pituitary lesion(s) - Transsphenoidal endonasal endoscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,742.45 | |||||
E598 | #NAME? | 0 | $94.60 | |||
R482
Hemiarthroplasty - single component (e.g. MacIntosh)
|
$351.70 | |||||
E599 | #NAME? | 0 | $87.20 | |||
R556
Tenolysis - single
|
$202.25 | |||||
E891 | #NAME? | 0 | $520.00 | |||
N114
Pituitary lesion(s) - Transsphenoidal endonasal endoscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,742.45 | |||||
E600 | #NAME? | 0 | $33.60 | |||
Z292
Laryngoscopy - Direct - without biopsy
|
$61.30 | |||||
E893 | #NAME? | 0 | $555.00 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,879.00 | |||||
E602 | #NAME? | 0 | $177.95 | |||
M107
Chest wall reconstruction - Total sternectomy
|
$812.25 | |||||
E603 | #NAME? | 0 | $50.90 | |||
M017
Packing for localization of cerebrospinal rhinorrhea
|
$39.60 | |||||
E604 | #NAME? | 0 | $55.60 | |||
M116
Chest wall - pleura - fixation for trauma
|
$350.00 | |||||
E896 | #NAME? | 0 | $400.40 | |||
N123
Burr hole - Stereotaxis intracranial (to include ventriculography)
|
$559.60 | |||||
E899 | #NAME? | 0 | $102.45 | |||
N288
Nerve graft - major (mixed sensory and motor nerve, or pure motor nerve)
|
$927.55 | |||||
E901 | #NAME? | 0 | $234.65 | |||
N152
Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - Craniotomy plus lobectomy
|
$1,575.80 | |||||
E609 | #NAME? | 0 | $121.70 | |||
M130
Closure of broncho-pleural fistula (transthoracic or trans-sternal)
|
$584.75 | |||||
E610 | #NAME? | 0 | $263.80 | |||
M130
Closure of broncho-pleural fistula (transthoracic or trans-sternal)
|
$584.75 | |||||
E903 | #NAME? | 0 | $614.70 | |||
N102
Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial
|
$1,862.85 | |||||
E904 | #NAME? | 0 | $241.00 | |||
N156
Cerebral vascular malformation - Occipital artery
|
$1,229.55 | |||||
E612 | #NAME? | 0 | $338.35 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E905 | #NAME? | 0 | $750.00 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,879.00 | |||||
J014 | #NAME? | 0 | $38.05 | |||
J021
By catheterization - abdominal, thoracic, cervical or cranial - insertion of catheter (including cut down, if necessary) and injection, if given
|
$121.40 | |||||
E613 | #NAME? | 0 | $500.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E614 | #NAME? | 0 | $162.45 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E908 | #NAME? | 0 | $304.30 | |||
N105
Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel
|
$2,477.45 | |||||
J020 | #NAME? | 0 | $23.85 | |||
J011
Myelogram
|
$93.40 | |||||
E615 | #NAME? | 0 | $250.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E616 | #NAME? | 0 | $142.10 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E912 | #NAME? | 0 | $233.30 | |||
N140
Reduction of skull fracture - compound
|
$895.00 | |||||
E617 | #NAME? | 0 | $78.80 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E916 | #NAME? | 0 | $233.30 | |||
Z825
Ventriculoscopy - to include burr hole
|
$731.20 | |||||
E618 | #NAME? | 0 | $121.85 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E917 | #NAME? | 0 | $301.70 | |||
Z825
Ventriculoscopy - to include burr hole
|
$731.20 | |||||
E619 | #NAME? | 0 | $162.45 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E918 | #NAME? | 0 | $132.80 | |||
Z825
Ventriculoscopy - to include burr hole
|
$731.20 | |||||
E620 | #NAME? | 0 | $78.80 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E621 | #NAME? | 0 | $45.85 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E921 | #NAME? | 0 | $262.15 | |||
N111
Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,879.00 | |||||
E922 | #NAME? | 0 | $215.35 | |||
N208
Craniotomy - for craniofacial repair
|
$918.15 | |||||
E624 | #NAME? | 0 | $111.20 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E930 | #NAME? | 0 | $102.35 | |||
R399
Lateral canthoplasty - unilateral
|
$204.80 | |||||
J030 | #NAME? | 0 | $54.05 | |||
J006
Discogram - one disc
|
$105.30 | |||||
E625 | #NAME? | 0 | $142.20 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E931 | #NAME? | 0 | $222.85 | |||
N123
Burr hole - Stereotaxis intracranial (to include ventriculography)
|
$559.60 | |||||
E626 | #NAME? | 0 | $174.35 | |||
R802
Abdominal aorta - repair or excision with graft - aneurysm repair alone or including unilateral common femoral repair
|
$1,585.50 | |||||
E932 | #NAME? | 0 | $205.00 | |||
E830
#NAME?
|
$107.20 | |||||
E627 | #NAME? | 0 | $400.00 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E933 | #NAME? | 0 | $99.85 | |||
E173
Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation
|
$594.70 | |||||
G486 | #NAME? | 0 | $28.50 | |||
G485
First major nerve and/or its branches
|
$45.45 | |||||
E628 | #NAME? | 0 | $194.50 | |||
Z412
Replacement or repair of pacemaker lead
|
$110.75 | |||||
E934 | #NAME? | 0 | $204.80 | |||
E173
Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation
|
$594.70 | |||||
E629 | #NAME? | 0 | $137.05 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E935 | #NAME? | 0 | $307.70 | |||
E830
#NAME?
|
$107.20 | |||||
G488 | #NAME? | 0 | $18.80 | |||
G487
Repeat or additional procedure within 30 days of previous chemodenervation injection - first major nerve and/or its branches
|
$28.50 | |||||
E936 | #NAME? | 0 | $90.00 | |||
E148
Anterior vitrectomy - Vitrectomy by infusion suction cutter technique
|
$720.00 | |||||
E937 | #NAME? | 0 | $100.00 | |||
E207
Pterygium - with lamellar graft
|
$453.00 | |||||
E632 | #NAME? | 0 | $68.40 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E938 | #NAME? | 0 | $213.20 | |||
E148
Anterior vitrectomy - Vitrectomy by infusion suction cutter technique
|
$720.00 | |||||
J038 | #NAME? | 0 | $21.75 | |||
J011
Myelogram
|
$93.40 | |||||
E633 | #NAME? | 0 | $44.55 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E634 | #NAME? | 0 | $52.00 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E940 | #NAME? | 0 | $105.00 | |||
E148
Anterior vitrectomy - Vitrectomy by infusion suction cutter technique
|
$720.00 | |||||
E635 | #NAME? | 0 | $67.20 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E941 | #NAME? | 0 | $296.90 | |||
E941
#NAME?
|
$296.90 | |||||
E636 | #NAME? | 0 | $50.00 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E942 | #NAME? | 0 | $53.20 | |||
E222
Primary closure of full thickness lid defect
|
$290.00 | |||||
E943 | #NAME? | 0 | $89.45 | |||
E222
Primary closure of full thickness lid defect
|
$290.00 | |||||
G194 | #NAME? | 0 | $8.35 | |||
G194
#NAME?
|
$8.35 | |||||
E638 | #NAME? | 0 | $81.90 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E944 | #NAME? | 0 | $175.15 | |||
E227
Temporal rotation flap
|
$514.80 | |||||
E639 | #NAME? | 0 | $78.50 | |||
Z741
Tracheotomy
|
$273.15 | |||||
E945 | #NAME? | 0 | $52.40 | |||
E196
Entropion, other than Zeigler puncture
|
$290.00 | |||||
E946 | #NAME? | 0 | $106.45 | |||
E315
Mastoidectomy - Revision mastoidectomy with revision of middle ear
|
$674.00 | |||||
E641 | #NAME? | 0 | $137.05 | |||
Z353
Incisional biopsy of chest wall tumour
|
$110.90 | |||||
E947 | #NAME? | 0 | $306.85 | |||
M056
Maxillectomy - partial or complete
|
$971.75 | |||||
J047 | #NAME? | 0 | $56.80 | |||
J040
Embolization (e.g. for treatment of haemangioma or renal carcinoma) - first vessel, claim appropriate angiographic procedural and radiological fees plus
|
$121.25 | |||||
E642 | #NAME? | 0 | $119.20 | |||
M012
Septoplasty
|
$293.95 | |||||
E948 | #NAME? | 0 | $113.20 | |||
E196
Entropion, other than Zeigler puncture
|
$290.00 | |||||
E643 | #NAME? | 0 | $121.65 | |||
Z323
Laryngoscopy - Direct - with removal of lesion(s)
|
$226.35 | |||||
E949 | #NAME? | 0 | $180.00 | |||
E159
Strabismus procedures - one muscle, one or both eyes
|
$376.40 | |||||
E644 | #NAME? | 0 | $400.00 | |||
M142
Pneumonectomy, may include radical mediastinal node dissection, sampling or pericardial resection requiring repair
|
$1,700.00 | |||||
E950 | #NAME? | 0 | $92.50 | |||
E214
Glaucoma filtering procedure and cataract extraction (same eye)
|
$729.00 | |||||
E645 | #NAME? | 0 | $371.00 | |||
R742
Coronary artery repair - one
|
$895.55 | |||||
E951 | #NAME? | 0 | $52.40 | |||
E121
Corneal transplant - penetrating
|
$740.00 | |||||
E646 | #NAME? | 0 | $187.80 | |||
R742
Coronary artery repair - one
|
$895.55 | |||||
Code no longer active
|
#NAME? | 0 | $178.50 | |||
E159
Strabismus procedures - one muscle, one or both eyes
|
$376.40 | |||||
E647 | #NAME? | 0 | $264.70 | |||
R738
Aortic valve replacement
|
$1,049.20 | |||||
E953 | #NAME? | 0 | $80.90 | |||
E211
Lid lengthening procedure
|
$288.35 | |||||
E233 | #NAME? | 0 | $153.25 | |||
E231
Medial canthal tendon - tendon repair only
|
$267.35 | |||||
E954 | #NAME? | 0 | $80.90 | |||
E218
Lacerated canaliculus - Dacryocystorhinostomy
|
$542.00 | |||||
E649 | #NAME? | 0 | $112.45 | |||
R784
Aorto-Iliac repair - plus unilateral common femoral repair
|
$2,102.00 | |||||
R785
Aorto-Iliac repair - plus bilateral common femoral repair
|
$2,327.50 | |||||
E955 | #NAME? | 0 | $202.35 | |||
E314
Meatoplasty or canalplasty for congenital malformation
|
$297.25 | |||||
E650 | #NAME? | 0 | $371.00 | |||
Z759
Removal of failed vascular graft without arterial reconstruction when sole procedure
|
$189.55 | |||||
E956 | #NAME? | 0 | $399.90 | |||
E314
Meatoplasty or canalplasty for congenital malformation
|
$297.25 | |||||
E651 | #NAME? | 0 | $202.05 | |||
R741
Excision - Coronary artery endarterectomy and/or gas endarterectomy
|
$730.70 | |||||
E957 | #NAME? | 0 | $138.05 | |||
E336
Tympanoplasty - Type 1 (myringoplasty with exploration of middle ear)
|
$345.15 | |||||
E652 | #NAME? | 0 | $187.85 | |||
E653 | #NAME? | 0 | $127.15 | |||
R842
Extra fascial and sub-fascial incompetent perforators by full fascial technique
|
$384.75 | |||||
E959 | #NAME? | 0 | $106.45 | |||
E315
Mastoidectomy - Revision mastoidectomy with revision of middle ear
|
$674.00 | |||||
E654 | #NAME? | 0 | $188.85 | |||
E960 | #NAME? | 0 | $103.80 | |||
E315
Mastoidectomy - Revision mastoidectomy with revision of middle ear
|
$674.00 | |||||
E655 | #NAME? | 0 | $348.70 | |||
Z759
Removal of failed vascular graft without arterial reconstruction when sole procedure
|
$189.55 | |||||
E961 | #NAME? | 0 | $296.60 | |||
R379
LeFort I advancement - in one segment
|
$803.80 | |||||
E656 | #NAME? | 0 | $288.85 | |||
R738
Aortic valve replacement
|
$1,049.20 | |||||
E962 | #NAME? | 0 | $594.20 | |||
R379
LeFort I advancement - in one segment
|
$803.80 | |||||
E657 | #NAME? | 0 | $446.50 | |||
R828
Ilio-femoral thrombectomy with or without femoral vein ligation
|
$446.50 | |||||
E963 | #NAME? | 0 | $296.60 | |||
R538
LeFort I intrusion - in one segment
|
$1,059.35 | |||||
E658 | #NAME? | 0 | $278.10 | |||
R714
Cardiotomy - with removal of tumour
|
$525.75 | |||||
E964 | #NAME? | 0 | $594.20 | |||
R538
LeFort I intrusion - in one segment
|
$1,059.35 | |||||
E659 | #NAME? | 0 | $169.00 | |||
R830
Aortic arch reconstruction - innominate
|
$910.70 | |||||
E965 | #NAME? | 0 | $296.60 | |||
R567
LeFort I extrusion - in one segment*
|
$1,315.70 | |||||
E966 | #NAME? | 0 | $594.20 | |||
R567
LeFort I extrusion - in one segment*
|
$1,315.70 | |||||
E661 | #NAME? | 0 | $185.15 | |||
R714
Cardiotomy - with removal of tumour
|
$525.75 | |||||
E967 | #NAME? | 0 | $256.40 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
E662 | #NAME? | 0 | $49.75 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E968 | #NAME? | 0 | $511.90 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
G221 | #NAME? | 0 | $16.95 | |||
G220
Intercostal nerve
|
$34.20 | |||||
E663 | #NAME? | 0 | $183.00 | |||
R854
Tenckhoff type peritoneal catheter - removal
|
$63.10 | |||||
E969 | #NAME? | 0 | $204.80 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
E664 | #NAME? | 0 | $127.05 | |||
R858
Aorto-Iliac repair - Total removal of infected aortic graft (stem and limbs)*
|
$918.35 | |||||
E970 | #NAME? | 0 | $307.15 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
G223 | #NAME? | 0 | $17.10 | |||
G231
Somatic/peripheral 1 nerve/site
|
$34.10 | |||||
E665 | #NAME? | 0 | $419.00 | |||
R792
Carotid - endarterectomy, with or without bypass graft
|
$841.00 | |||||
E971 | #NAME? | 0 | $383.65 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
K189 | #NAME? | 0 | $216.30 | |||
A190
Special psychiatric consultation
|
$310.45 | |||||
E666 | #NAME? | 0 | $52.30 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E972 | #NAME? | 0 | $511.90 | |||
R580
LeFort I cleft palate - in one segment*
|
$1,525.30 | |||||
E667 | #NAME? | 0 | $266.60 | |||
R830
Aortic arch reconstruction - innominate
|
$910.70 | |||||
E973 | #NAME? | 0 | $178.90 | |||
R654
Pericranial flap to orbit or face - unilateral
|
$307.15 | |||||
E668 | #NAME? | 0 | $93.80 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E974 | #NAME? | 0 | $297.55 | |||
R655
Pericranial flap to orbit or face - bilateral
|
$409.55 | |||||
E669 | #NAME? | 0 | $102.75 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E975 | #NAME? | 0 | $76.50 | |||
Z264
Harvesting of bone graft when not included - Rib graft - one rib
|
$154.00 | |||||
G544 | #NAME? | 0 | $8.75 | |||
G414
Routine EEG - technical component
|
$25.75 | |||||
E670 | #NAME? | 0 | $224.70 | |||
Z744
Decannulation of circulatory assist device - open
|
$123.05 | |||||
E976 | #NAME? | 0 | $154.00 | |||
Z265
Harvesting of bone graft when not included - Costochondral or chondral graft - one rib
|
$230.65 | |||||
E671 | #NAME? | 0 | $543.60 | |||
Z744
Decannulation of circulatory assist device - open
|
$123.05 | |||||
E672 | #NAME? | 0 | $133.40 | |||
R791
Femoro-popliteal - with saphenous vein
|
$1,077.25 | |||||
E979 | #NAME? | 0 | $396.70 | |||
N105
Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel
|
$2,477.45 | |||||
E981 | #NAME? | 0 | $132.35 | |||
E328
Tympanoplasty - Tympanotomy
|
$288.50 | |||||
E984 | #NAME? | 0 | $137.50 | |||
E214
Glaucoma filtering procedure and cataract extraction (same eye)
|
$729.00 | |||||
E677 | #NAME? | 0 | $104.00 | |||
M099
Segmental resection of cervical trachea
|
$918.60 | |||||
E985 | #NAME? | 0 | $106.45 | |||
E315
Mastoidectomy - Revision mastoidectomy with revision of middle ear
|
$674.00 | |||||
E678 | #NAME? | 0 | $104.00 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E986 | #NAME? | 0 | $250.00 | |||
R783
Aorto-Iliac repair - including common iliac repair (uni-or bilateral)
|
$2,002.00 | |||||
E679 | #NAME? | 0 | $124.10 | |||
R784
Aorto-Iliac repair - plus unilateral common femoral repair
|
$2,102.00 | |||||
R785
Aorto-Iliac repair - plus bilateral common femoral repair
|
$2,327.50 | |||||
E682 | #NAME? | 0 | $423.85 | |||
Z759
Removal of failed vascular graft without arterial reconstruction when sole procedure
|
$189.55 | |||||
E684 | #NAME? | 0 | $214.10 | |||
Z456
Venipuncture - Insertion of implantable central venous catheter
|
$193.40 | |||||
E686 | #NAME? | 0 | $144.10 | |||
S313
Peritoneal abscess - subphrenic
|
$370.95 | |||||
E687 | #NAME? | 0 | $69.80 | |||
Z764
Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm
|
$69.80 | |||||
E688 | #NAME? | 0 | $69.80 | |||
Z753
Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm
|
$24.25 | |||||
G579 | #NAME? | 0 | $11.35 | |||
G571
Professional component
|
$96.20 | |||||
J169 | #NAME? | 0 | $16.35 | |||
J168
Nuchal translucency for Prenatal Genetic Screening (maximum one per pregnancy)
|
||||||
E690 | #NAME? | 0 | $43.85 | |||
E691 | #NAME? | 0 | $178.40 | |||
S348
Omphalocele and gastroschisis - Primary or first stage repair
|
$1,112.35 | |||||
E360 | #NAME? | 0 | $306.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E692 | #NAME? | 0 | $69.70 | |||
E361 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E693 | #NAME? | 0 | ||||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
E362 | #NAME? | 0 | $153.00 | |||
N502
Thoracic - includes thoracotomy - Disc excision (one level)
|
$1,530.00 | |||||
E694 | #NAME? | 0 | ||||
S321
Laparotomy - for acute trauma
|
$587.10 | |||||
G585 | #NAME? | 0 | $133.90 | |||
E363 | #NAME? | 0 | $357.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E696 | #NAME? | 0 | $30.65 | |||
E364 | #NAME? | 0 | $102.00 | |||
E363
#NAME?
|
$357.00 | |||||
E697 | #NAME? | 0 | $142.40 | |||
E365 | #NAME? | 0 | $765.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E698 | #NAME? | 0 | $69.70 | |||
E700 | #NAME? | 0 | $13.40 | |||
S023
Extraction of tooth (complete care) - single
|
$24.90 | |||||
E367 | #NAME? | 0 | $255.00 | |||
N502
Thoracic - includes thoracotomy - Disc excision (one level)
|
$1,530.00 | |||||
E368 | #NAME? | 0 | $306.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
G262 | #NAME? | 0 | $210.40 | |||
Z434
Transluminal coronary angioplasty - one or more sites on a single major vessel
|
$467.05 | |||||
E369 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E704 | #NAME? | 0 | $46.50 | |||
S276
Choledochotomy (previous cholecystectomy)
|
$610.20 | |||||
G263 | #NAME? | 0 | $96.45 | |||
Z442
Selective coronary catheterization - both arteries
|
$286.75 | |||||
E705 | #NAME? | 0 | $30.30 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E371 | #NAME? | 0 | $816.00 | |||
E384
#VALUE!
|
$1,020.00 | |||||
E706 | #NAME? | 0 | $122.05 | |||
S123
Partial or subtotal - distal
|
$840.00 | |||||
E372 | #NAME? | 0 | $510.00 | |||
N511
Lumbar - One level - unilateral
|
$800.70 | |||||
E707 | #NAME? | 0 | $70.80 | |||
S118
Gastrostomy
|
$467.85 | |||||
E708 | #NAME? | 0 | $122.05 | |||
S122
Wedge resection for ulcer
|
$520.00 | |||||
E709 | #NAME? | 0 | $122.05 | |||
S123
Partial or subtotal - distal
|
$840.00 | |||||
E710 | #NAME? | 0 | $45.55 | |||
Z752
Biopsy of rectosigmoid or above for Hirschsprungs disease
|
$82.35 | |||||
E376 | #NAME? | 0 | $255.00 | |||
E372
#NAME?
|
$510.00 | |||||
E711 | #NAME? | 0 | $106.55 | |||
S123
Partial or subtotal - distal
|
$840.00 | |||||
E377 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E712 | #NAME? | 0 | $111.10 | |||
S123
Partial or subtotal - distal
|
$840.00 | |||||
K684 | #NAME? | 0 | $6.00 | |||
K682
Opioid Agonist Maintenance Program monthly management fee - intensive, per month
|
$45.00 | |||||
E713 | #NAME? | 0 | $137.55 | |||
S122
Wedge resection for ulcer
|
$520.00 | |||||
E714 | #NAME? | 0 | $82.35 | |||
Z750
Resection of exteriorized intestine
|
$82.35 | |||||
X194 | #NAME? | 0 | $5.20 | |||
X172
Mammogram - No Signs or Symptoms - Dedicated Equipment - unilateral
|
||||||
E380 | #NAME? | 0 | $357.00 | |||
N520
Cervical / Thoracic - One level - laminoplasty (includes fixation of lamina)
|
$1,514.70 | |||||
E715 | #NAME? | 0 | $74.90 | |||
S273
Marsupialization and/or decompression of cyst(s) or abscess(es)
|
$434.80 | |||||
E382 | #NAME? | 0 | $244.80 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E716 | #NAME? | 0 | $147.30 | |||
S134
Gastroduodenostomy or gastrojejunostomy
|
$406.85 | |||||
E383 | #NAME? | 0 | $255.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E717 | #NAME? | 0 | $27.05 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E718 | #NAME? | 0 | $142.40 | |||
S217
Hartmann procedure
|
$1,063.60 | |||||
E385 | #NAME? | 0 | $71.40 | |||
N571
Lumbar - Percutaneous discotomy
|
$255.00 | |||||
G281 | #NAME? | 0 | $7.70 | |||
G381
Standard chemotherapy - agents with minor toxicity that require physician monitoring
|
$54.25 | |||||
E387 | #NAME? | 0 | $153.00 | |||
N511
Lumbar - One level - unilateral
|
$800.70 | |||||
E721 | #NAME? | 0 | $122.05 | |||
S137
Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy
|
$678.90 | |||||
E384 | #VALUE! | 0 | $1,020.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
C105 | Additional Person(s) Seen - Evenings (17:00 - 24:00) Monday through Friday | 0 | $60.00 | |||
C107 | Additional Person(s) Seen - Nights (00:00 - 07:00) | 0 | $100.00 | |||
C106 | Additional Person(s) Seen - Sat., Sun. and Holidays (07:00 - 24:00) | 0 | $75.00 | |||
E586 | Amputation with immediate fitting to include supervision of final limb fitting, add 40% | 0 | ||||
R620
Metatarsal/phalanx disarticulation
|
$155.90 | |||||
J196 | Ankle pressure measurements - with exercise and/or quantitative measurements | 0 | $10.10 | |||
J200
Ankle pressure measurements - requires a minimum of 4 segmental pressure recordings and/or pulse volume recordings and/or Doppler recordings - unilateral or bilateral
|
||||||
E890 | complex endonasal endoscopic resection from cavernous sinuses, to N114 or N116 | 0 | $520.00 | |||
N114
Pituitary lesion(s) - Transsphenoidal endonasal endoscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s)
|
$1,742.45 | |||||
E088 | Congestive heart failure premium - add 50% for virutal services | 0 | 0 | |||
A603
Medical specific assessment
|
$81.55 | |||||
E150 | CritiCall review of complex neurosurgical imaging - add | 0 | 0 | |||
K733
CritiCall telephone consultation - Consultant physician
|
$41.85 | |||||
E366 | Each additional disc level fused | 0 | $153.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E660 | epicardial E.P.S. mapping to R714 | 0 | $185.15 | |||
R830
Aortic arch reconstruction - innominate
|
$910.70 | |||||
E648 | excision of extensive endocardial scar, to ventriculotomy or aneurysm repair to R747 | 0 | $135.80 | |||
R738
Aortic valve replacement
|
$1,049.20 | |||||
C108 | First Person Seen - Evenings (17:00 - 24:00) Monday through Friday | 0 | $75.00 | |||
C110 | First Person Seen - Nights (00:00 - 07:00) | 0 | $100.00 | |||
C109 | First Person Seen - Sat., Sun. and Holidays (07:00 - 24:00) | 0 | $60.00 | |||
E098 | Gastroenterology chronic disease assessment premium - add 50% for virutal services | 0 | 0 | |||
A413
Medical specific assessment
|
$80.35 | |||||
E731 | Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add | 0 | $247.05 | |||
S116
Gastrotomy - with removal of tumour or foreign body
|
$406.85 | |||||
C101 | Intensive or Coronary Care Unit Premium | 0 | $9.10 | |||
E673 | Lysis of extensive intra-abdominal adhesions - add | 0 | $62.05 | |||
R791
Femoro-popliteal - with saphenous vein
|
$1,077.25 | |||||
E676 | Morbidly obese patient, surgeon, to procedural fee - add 25% | 0 | ||||
D043
Dislocations - Hip - open reduction
|
$406.45 | |||||
E592 | more than one, to R536 - add | 0 | $133.05 | |||
R258
Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal
|
$193.20 | |||||
E370 | One disc level - below C2 | 0 | $867.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E554 | synovectomy requiring a minimum of 30 minutes to resect, to R236, R240, R241, R244, R281, R288, R436, R437, R438, R439, R440, R441, R443, R453, R454, R456, R479, R481, R482, R483, R485, R486, R487, R488, R491, R493, R496, R497, R498, R499, R500, R509, R510 | 0 | $175.00 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E730 | Total thoracic oesophageal resection - with reconstruction - add | 0 | $740.95 | |||
S090
Total thoracic oesophageal resection
|
$1,912.30 | |||||
C102 | Travel Premium - Evenings (17:00 - 24:00) Monday through Friday | 0 | $36.40 | |||
C104 | Travel Premium - Nights (00:00 - 07:00) | 0 | $36.40 | |||
C103 | Travel Premium - Sat., Sun. and Holidays (07:00 - 24:00) | 0 | $36.40 | |||
E854 | ureterolysis - unilateral - payable in conjunction with major gynaecological operative procedure except S743 and must include surgical definition of pararectal and paravesical spaces, identification of uterine artery and vein, and mobilization of the pelvic ureter from common iliac vessels to ureterovesical junction - add | 0 | $170.00 | |||
S727
Oophorectomy - Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum
|
$1,081.80 | |||||
E855 | with dye injection - add - to S743 | 0 | $25.85 | |||
S727
Oophorectomy - Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum
|
$1,081.80 | |||||
E631 | with resection of cricoid to M099 | 0 | $314.20 | |||
Z491
Follow up of incomplete polyp resection
|
$51.95 | |||||
E611 | with resection of diaphragm and direct suture closure to M138, M142, M143, M144, M145, M151, M149 | 0 | $145.00 | |||
M130
Closure of broncho-pleural fistula (transthoracic or trans-sternal)
|
$584.75 | |||||
E883 | with subtotal thyroidectomy - add - to S792 | 0 | $266.60 | |||
M081
Laryngectomy - total
|
$838.90 | |||||
All Codes |
||||||
Z518 | All Codes | 4 | $150.15 | |||
Complete Study - 1 and 2 dimensions |
||||||
G571 | Professional component | 0 | $96.20 | |||
G400
Physician-in-charge - 1st day
|
$223.10 | |||||
G570 | Technical component | 0 | $118.95 | |||
G400
Physician-in-charge - 1st day
|
$223.10 | |||||
COVID-19 Immunization |
||||||
G593 | COVID-19 vaccine | 0 | $13.00 |
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
-
- Anaesthesia (01)
- Cardiac Surgery (09)
- Cardiology (60)
- Clinical Immunology (62)
- Community Medicine (05)
- Critical Care Medicine (11)
- Dermatology (02)
- Diagnostic Radiology (33)
- Emergency Medicine
- Endocrinology & Metabolism (15)
- Family Practice & Practice In General (00)
- Family Practice And Practice In General (00)
- Family Practive And Practive In General
- Gastroenterology (41)
- General Surgery (03)
- General Thoracic Surgery (64)
- Genetics (22)
- Geriatrics (07)
- Hematology (61)
- Infection Disease (46)
- Infectious Disease (46)
- Internal And Occupational Medicine (13)
- Internal And Ocucpational Medicine (13)
- Laboratory Medicine (28)
- Medical Oncology (44)
- Nephrology (16)
- Neurology (18)
- Neurosurgery (04)
- Nuclear Medicine (63)
- Obstetrics And Gynaecology (20)
- Ophthalmology (23)
- Opthalmology (23)
- Orthopaedic Surgery (06)
- Orthorpaedic Surgery (06)
- Otolaryngology (24)
- Paediatrics (26)
- Physical Medicine & Rehabilitation (31)
- Plastic Surgery (08)
- Psychiatry (19)
- Radiation Oncology (34)
- Respiratory Disease (47)
- Rheumatology (48)
- Urology (35)
- Vascular Surgery (17)
-
- Bone Mineral Density (BMD) Measurement
- Chest And Abdomen
- Computed Tomography (CT)
- Fluoroscopy - By Physician With Or Without Spot Films
- Gastrointestinal Tract
- Genitourinary Tract
- Head And Neck
- Lower Extremities
- Miscellaneous Examinations
- Obstetrics And Gynaecology
- Skeletal Surveys
- Special Examinations
- Spine And Pelvis
- Upper Extremities
-
- Allergy
- Anaesthesia
- Cardiovascular
- Critical Care
- Dermatology
- Dialysis
- Echocardiography
- Electrocardiography (ECG)
- Endocrinology And Metabolism
- Gastroenterology
- Gynaecology
- Haematology
- Home And Self Care Services
- Injections And Infusions
- Injections Or Infusions
- Laboratory Medicine
- Nephrology
- Nerve Blocks - Interventional Pain Injections
- Nerve Blocks - Peripheral / Other Injections
- Nerve Blocks For Acute Pain Management
- Neurology
- Neurosurgery
- Non-Invasive Cardiography
- Ophthalmology
- Otolaryngology
- Palliative Care
- Physical Medicine
- Psychiatry And Respiratory Disease
- Sleep Studies
- Urology
-
- Anaesthesiologists' Services
- Assessments
- Emergency Department By Emergency Department Physician
- Emergency Department Sessional Fees
- General Information
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Special Visit Premiums
- Special Visit Premiums - Long-Term Care Institution
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Temporary COVID-19 Service
-
- Anterior Spinal Arthrodesis Following Decompression
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Anterior Spinal Decompression
- Deformities Of The Spine
- Fractures Of The Spine
- Meningocoele And Myelomeningocoele
- Posterior Spinal Arthrodesis As Sole Procedure
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Decompression
- Procedures Involving Neural Elements
- Procedures On Musculoskeletal Elements
- Revision Procedures For Spinal Surgery
- Tumours / Infections Of The Spine
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