OHIP Billing Codes

Specialty: Urogenital And Urinary Surgical Procedures

Category: Kidney And Upper Urinary Tract

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Code Description Fee

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Endoscopic Procedures

Z628 Cystoscopy and diagnostic Ureteroscopy - above intramural $125.70
S470 Cystoscopy with manipulation and/or removal of calculus and retrograde pyelogram if required $240.65
Z638 Endoscopic treatment of vesicoureteral reflux by subureteral injection of agent, unilateral or bilateral $450.00

Excision

S410 Calycectomy with diversion of urine $512.00
S412 Nephrectomy - ectopic kidney $467.00
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 $1,237.25
S413 Nephrectomy - lumbar $467.00

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S420 Nephrectomy - Nephroureterectomy, total, with resection of ureterovesical junction $673.10
S416 Nephrectomy - thoracoabdominal or radical nephrectomy $907.00
S415 Nephrectomy - transperitoneal $522.50
S411 Partial or heminephrectomy $907.00
S423 Partial or heminephrectomy with total ureterectomy $757.85
S449 Ureterectomy - including ureterovesical junction $445.40
S450 Ureterectomy - other e.g. partial $331.70

Extra Renal Procedures

S431 Excision of retroperitoneal tumour $381.60
S432 Exploration of retroperitoneal tumour $260.85
Z630 Extracorporeal shock wave lithotripsy $314.20
S433 Sacrococcygeal teratoma $437.20

Incision

S401 Drainage of kidney abscess $411.30
S402 Drainage of perinephric abscess $267.60
S403 Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst) $356.70
S400 Laparoscopic placement of probe(s) for ablation of renal tumour $404.95
S405 Nephrolithotomy - open $482.40
S408 Pyelolithotomy - open $437.20
S430 Removal of staghorn calculus filling renal pelvis and calyces - open, with or without x-ray control and/or anatrophic nephrolithotomy $657.75
Z601 Renal biopsy, needle $143.55
S448 Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - lower 1/3 $522.50
S447 Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - upper 2/3 $437.20
S446 Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - lower 1/3 $482.40
S445 Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - upper 2/3 $376.80

Percutaneous Procedures

Z600 Change of nephrostomy tube $44.00
Z624 Dilatation of tract $105.25
Z636 Endoscopic ureterotomy or pyelotomy $273.25
Z623 Insertion of stent $95.10
Z626 Nephroscopy, percutaneous or retrograde $95.95
Z637 Percutaneous ablation of calyceal diverticulum to include dilation of communication $262.75
Z629 Percutaneous nephrostomy $153.35
Z627 Removal of renal calculi $168.25
Z625 Selective catheterization of calyces (one or more) $52.70

Renal Transplantation Procedures

S436 Donor nephrectomy unilateral or bilateral (to include renal perfusion with hypothermia when rendered by surgeon) $653.20
Z631 Fine needle aspiration of renal transplant $45.15
S434 Kidney re-transplant $1,858.15
S435 Kidney transplant $1,553.15
S437 Renal autotransplantation $1,161.60

Repair

S427 Bladder flap (Boari) - to include re-implantation of ureter $502.45
S422 Pyeloplasty (with or without nephropexy) $907.00
S451 Re-implantation - Ureterovesical anastomosis or reimplantation unilateral $490.25
S561 Re-implantation of ureter with extensive tapering with or without ureterolysis $693.45
S562 Re-implantationof bifid ureter $539.50
S428 Symphysiotomy for horseshoe kidney with or without nephropexy and associated procedures $494.90
S452 Ureteroileal conduit $788.15
S454 Ureteroileal conduit - with ureterectomy and ileal replacement $893.50
S462 Ureterointestinal anastomosis - bilateral $438.35
S455 Ureterointestinal anastomosis - unilateral $331.70
S460 Ureterolysis for periureteral fibrosis - unilateral $448.00
S461 Ureteroplasty (Hutch) - unilateral $331.70
S458 Ureterostomy - Cutaneous - unilateral $494.90
S463 Ureterostomy - Cutaneous - with lower third ureterotomy $381.60
S459 Ureterostomy - Ureterovaginal fistula $557.85
S457 Ureteroureterostomy $552.30

Suture

S429 Ruptured or lacerated kidney repair or removal $437.20
S466 Traumatic rupture, or transection (partial or complete) - Immediate - lower 1/3 $437.20
S465 Traumatic rupture, or transection (partial or complete) - Immediate - upper 2/3 $381.60
S468 Traumatic rupture, or transection (partial or complete) - Late repair - lower 1/3 $482.40
S467 Traumatic rupture, or transection (partial or complete) - Late repair - upper 2/3 $437.20

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.

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