Musculoskeletal system surgical procedures OHIP billing codes

These are the most commonly used Musculoskeletal system surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


Bone/Fascial/Dermis Grafts

Code Description Amount
Z279 Autogenous - different surgeon $193.00
E553 - Homogenous banked bone or bone substitutes . . . add $25.15
R200 Allograft - cadaver per long bone, each $144.80
E547 - Fixation methyl methacrylate (not arthroplasty) . . . Add $59.40
E590 - Fixation rigid external fixation pseudoarthrosis . . . Add $76.10

Excision

Code Description Amount Ans Units Assist Units
R316 Bone - Proximal row carpectomy $338.75 7 6
R285 Bone - Carpal bone (one) $214.45 7 6
R317 Bone - Dorsal exostosis (triquetrum) $189.75 6 6
R286 Bone - Radial styloid $234.75 7 6
R283 Bone - Phalanx/metacarpal $193.00 7 6
R272 Bone - Bone tumour $0.00
R425 Joint - Synovectomy/capsulectomy/debridement - finger joint $226.40 6 6
R414 Joint - Synovectomy/capsulectomy/debridement - two or more joints $339.65 7 6
R407 Joint - Synovectomy of extensor or flexor tendons $224.45 6
R418 Joint - Synovectomy/debridement wrist $342.55 7 6
R492 Joint - Radioulnar meniscectomy $231.10 7 6
R549 Soft tissue - Ganglion Simple or complex $177.80 6 6
R551 Soft tissue - Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps $322.15 7 6
E832 - excision of fascia for Dupuytrens, one or more additional rays, to R551 . . . add $273.85
R522 Muscle - simple $193.00 6 6
R523 Muscle - complex $484.35 7 6
E041 - Pseudoarthrosis intramedullary nail with distal and proximal locking screws tibia . . . ADD $81.55
R287 Bone - Radial head $217.95 7 6
R643 Bone - Ulna lower end $193.00 7 6
R290 Bone - Olecranon $207.90 6 6
R291 Bone - Olecranon with fascial repair $309.00 7 6
R595 Bursae - Olecranon $101.25 6 6
R421 Joint Contents - Synovectomy/capsulectomy/debridement, etc. $311.85 7 6
R524 Muscles - Myositis ossificans $289.50 7 6
R591 Tumours - Soft tissues - superficial $196.05 6 6
R592 Tumours - Soft tissues - deep $484.35 7 6
R294 Tumours - Bone tumours - exostosis $165.20 7 6
R295 Tumours - Bone tumours - simple excision $289.50 7 6
R293 Tumours - Bone tumours - extensive with replacement $677.50 6 6
R298 Clavicle or Acromion - Simple (includes ligament) $211.60 7 6
R641 Clavicle or Acromion - Major tumour $290.55 7 6
R214 Clavicle or Acromion - Malignant tumour with reconstruction $484.35 6 6
R292 Humerus - Head $299.75 6 6
R297 Humerus - Malignant tumour with reconstruction $681.10 6 6
R422 Joint - Synovectomy and debridement $425.10 10 6
R512 Joint - Excision of subacromial bursa (not to be claimed with R416, R593 or R594) $211.60 7 6
R416 Rotator cuff exploration includes acromioplasty, excision of coracoacromial ligament and subacromial bursa but excludes simple excision of clavicle $206.90 10 6
R278 Maxilla, with exenteration of orbit and skin graft $532.95 7 6
R279 Maxilla advancement $440.15 8 6
R280 Mandible $353.10 7 6
R284 Mandibular condyle $276.55 7 6
R428 Temporomandibular meniscectomy $249.75 7 6
R639 Bone - Simple cyst, etc $338.75 7 6
R330 Bone - Major resection tumour $629.65 7 6
R216 Bone - Radical resection tumour $1,007.35 8 8
F115 Bone - Coccyx $208.80 6 6
R315 Bone - Head and neck, femur $452.90 6 6
R423 Joint - Synovectomy/debridement $470.50 7 6
R590 Bursae - GT trochanteric/ischial $201.40 7 6
R314 Bone - Simple cyst/exostosis $225.50 6 6
R311 Exostosis/cyst $201.40 6 6
R210 Fibular head $193.00 7 6
R253 Tumour - extensive with repair $648.20 6 6
R246 Tumour - Excision bony ridge to include interpositional materials $385.15 7 6
R299 Bone - Phalanx $127.15 6 6
R309 Bone - Metatarsal head $175.45 6 6
E587 - each additional . . . Add $41.70
R305 Bone - Metatarsal head - Accessory navicular (scaphoid) $155.90 6 6
R302 Bone - Bunion/bunionette $150.30 6 6
R307 Bone - Calcaneal spur $139.25 6 6
R282 Bone - Exostosis (dorsal, subungual) $100.15 6 6
R308 Bone - Os calcis, talus $283.95 7 6
R301 Bone - Sesamoid, one or both $142.00 6 6
R306 Bone - Tarsal bar $230.20 7 6
R266 Bone - Tumour (foot) $241.30 6 6
R420 Joint - Ankle synovectomy $273.75 7 6
R576 Soft Tissue - Excision of fascia for Dupuytrens (planter fibromatosis), one or more rays $322.15 6 6

Reconstruction

Code Description Amount Ans Units Assist Units
R321 Bone - Pseudoarthrosis/non-union/avascular necrosis - Phalanx, metacarpal $260.75 7 6
R322 Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid $500.00 6 6
R345 Bone - Pseudoarthrosis/non-union/avascular necrosis - Carpal bone, other than scaphoid $260.75 6 6
E497 - Bone Pseudoarthrosis/nonunion/avascular necrosis pedicled vascularized bone graft, to R322 or R345 . . . Add $350.00
R257 Bone - Deformity - Osteotomy phalanx - terminal $162.65 6
R258 Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal $193.20 7 6
E591 - Bone Deformity Osteotomy phalanx each additional . . . Add $158.65
R597 Ligaments - Simple/single repair wrist $301.60 7 6
R548 Ligaments - Extensive/multiple repair wrist $511.45 7 6
R601 Ligaments - Metacarpal phalangeal repair $316.75 7 6
R557 Tendon - Tenoplasty - one $223.65 7 6
E050 - Tendon Tenoplasty each additional . . . Add $77.05
R559 Tendon - Tendon graft - one $306.30 7 6
E052 - Tendon Tendon graft each additional . . . Add $259.85
R586 Tendon - Tendon graft - Reconstruction of flexor tendon pulley, per finger $97.35
R554 Tendon - Silicone rod insertion - one $294.20 7 6
E051 - Tendon Silicone rod insertion each additional . . . Add $245.90
R563 Tendon - Transplant/transfer - single $284.95 7 6
E054 - Tendon Transplant/transfer each additional . . . Add $236.10
E056 - Transposition/transplantation/transfer each additional . . . Add $91.90
R578 Tendon - Tendon repair extensor - single $164.10 7 6
E580 - Tendon Tendon repair extensor each additional. . . Add $70.95
R585 Tendon - Flexor - single $307.60 7 6
E581 - each additional . . . Add $128.95
R574 Tendon - Mallet finger - K-wire $133.95 7
R573 Tendon - Mallet finger - open $147.20 6 6
R577 Tendon - Boutonniere - open $147.30 6 6
R582 Tendon - Boutonniere - late $246.65 7 6
R602 Extremities - Pollicization $596.35 6 6
R603 Extremities - Digital reimplantation involving microvascular and neuro anastomosis $1,586.20 8 8
R604 Extremities - Revision of R602, R603 $0.00
R605 Extremities - Reconstruction and plastic repair of traumatically amputated extremities $0.00
R323 Bone - Pseudoarthrosis - Radius or ulna $304.40 7 6
R473 Bone - Pseudoarthrosis - Radius and ulna $411.20 6 6
R950 Bone - Pseudoarthrosis - Radius and ulna circular external fixation $291.40 7 6
R259 Bone - Deformity - Osteotomy - ulna $297.85 7 6
R261 Bone - Deformity - Osteotomy -radius with or without ulna $411.20 6 6
R324 Bone - Deformity - Osteotomy - radius and/or ulna with reconstruction congenital abnormality, synostosis etc $398.10 6 6
R951 Bone - Deformity - Osteotomy - Single level correction circular external fixation $638.40 7 6
R952 Bone - Deformity - Osteotomy - Double level correction circular external fixation $798.10 6 6
R953 Bone - Deformity - Bone transport - circular external fixation (less than or equal to 6 cm) $655.15 6 6
R954 Bone - Deformity - Bone transport - circular external fixation (greater than 6 cm) $763.80 7 6
R476 Fascia - Repair fascial defects - small $144.80 7 6
R478 Fascia - Repair fascial defects - large with or without synthetic graft or rotation flap $290.55 7 6
R556 Tenolysis - single $202.25 6 6
E599 - Tenolysis each additional . . . Add $87.20
R583 Transposition/transplantation/transfer - Steindler flexoplasty $344.85 7 6
R329 Pseudoarthrosis - Clavicle $269.10 6 6
R325 Pseudoarthrosis - Humerus $346.15 6 6
R956 Pseudoarthrosis - Humerus circular external fixation $291.40 7 6
R527 Muscles/soft tissues - Muscle transplant pectoralis major $434.25 6 6
R353 Muscles/soft tissues - Scapulopexy congenital elevation $385.15 6 6
R568 Muscles/soft tissues - Trapezius/sternomastoid transplant $338.65 7 6
R589 Muscles/soft tissues - Tendon repair or release biceps $227.40 7 6
R685 Muscles/soft tissues - Tendon release with tenodesis biceps $314.60 7 6
R593 Muscles/soft tissues - Rotator cuff repair - simple, endtoend or sidetoside (includes acromioplasty, excision of coracoacromial ligament and subacromial bursa ) $345.35 10 6
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) $498.30 10 6
R531 Facial paralysis - static slings $307.15 6 6
R532 Facial paralysis - dynamic slings $399.00 6 6
R533 Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles $511.90 7 6
E597 - Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles with meloplasty . . . Add $87.05
R364 Pseudoarthrosis - Pelvis $580.90 10 8
R328 Pseudoarthrosis - Hip $477.90 6 6
R265 Osteotomy - Pelvis - infant $399.00 8 8
R273 Osteotomy - Pelvis - other $580.90 8 8
R263 Hip $539.15 7 6
Z232 Muscle/tendon - Tenotomy - closed adductors $49.20
Z233 Muscle/tendon - Tenotomy - open adductors $97.35
R545 Muscle/tendon - Tenotomy - iliopsoas $266.35 6 6
R570 Tendon transfer - Iliopsoas $520.60 7 6
R569 Tendon transfer - Abductor $339.65 6 6
R632 Fascial - simple $193.00 7 6
R633 Fascial - complex with or without synthetic graft or rotation flap $402.75 7 6
E048 - Pseudoarthrosis intramedullary nail with distal and proximal locking screws femur . . . Add $108.75
R967 Pseudoarthrosis - Circular external fixation $291.40 6 6
R262 Deformity - Osteotomy femoral shaft $532.65 6 6
R215 Deformity - Osteotomy supracondylar $387.00 6 6
R963 Deformity - Single level correction circular external fixation $638.40 7 6
R964 Deformity - Double level correction circular external fixation $798.10 6 6
R965 Deformity - Bone transport circular external fixation (less than or equal to 6 cm) $655.15 6 6
R966 Deformity - Bone transport circular external fixation (greater than 6 cm) $763.80 6 6
R333 Leg length discrepancy - Femoral shortening $480.70 6 6
R332 Leg length discrepancy - Femoral lengthening $541.95 6 6
R968 Leg length discrepancy - Lengthening with circular external fixation (less than or equal to 6 cm) $546.55 6 6
R969 Leg length discrepancy - Lengthening with circular external fixation (greater than 6 cm) $763.80 6 6
R340 Leg length discrepancy - Femoral epiphysiodesis $301.60 7 6
R341 Leg length discrepancy - Tibial and femoral epiphysiodesis $426.90 7 6
R343 Leg length discrepancy - Femoral stapling $313.65 7 6
R344 Leg length discrepancy - Tibial and femoral stapling $387.00 6 6
R587 Muscles/tendons - Quadriceps repair - reconstructive $387.00 7 6
R530 Muscles/tendons - Quadriceps repair - Quadricepsplasty all types $381.40 7 6
R561 Muscles/tendons - Quadriceps repair - Iliotibial band $190.10 6 6
Z197 Muscles/tendons - Quadriceps repair -Closed release of iliotibial band $49.20 6
R543 Muscles/tendons - Tenotomy of hamstrings - single $168.85 7 6
R562 Muscles/tendons - Tenotomy of hamstrings - multiple $193.00 6 6
R571 Muscles/tendons - Lengthening of hamstrings - Tendon or muscle transfer $307.15 7 6
E049 - each additional . . . Add $87.20
F094 Fractures - Closed reduction - traction infant or child $258.00 6 6
F095 Fractures - Closed reduction - traction - adult or adolescent $407.35 6 6
F097 Fractures - Closed reduction - cast $258.90 6 6
F096 Fractures - Closed reduction - open reduction $493.80 8 6
E048 - Pseudoarthrosis intramedullary nail with distal and proximal locking screws femur . . . Add $108.75
R508 Meniscus - Suturing of medial or lateral meniscus $242.25 7 6
R584 Muscles/Tendons - Tenoplasty - one $144.80 7 6
E050 - Tendon Tenoplasty each additional . . . Add $77.05
Z237 Muscles/Tendons - Tenotomy - closed - one $49.20 6
Z238 Muscles/Tendons - Tenotomy - closed - multiple $72.35 7
R564 Muscles/Tendons - Tenotomy - open - one $232.00 7 6
R566 Muscles/Tendons - Tenotomy - open - multiple $253.30 6 6
R516 Muscles/Tendons - Tenotomy - Release patellar retinaculum $161.45 7 6
R599 Ligaments - simple - one $361.95 6 6
R542 Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch $0.00 7 6
R539 Ligaments - removal of synthetics $213.45 7 6
R326 Pseudoarthrosis - Tibia/fibula $348.00 6 6
R327 Pseudoarthrosis - Bypass fibular graft $341.45 6 6
R372 Pseudoarthrosis - Congenital pseudoarthrosis $484.35 6 6
R970 Pseudoarthrosis - Circumferential external fixation $291.40 6 6
R289 Deformity - Osteotomy tibia and fibula adult or child $376.80 6 6
R971 Deformity - Single level correction circular external fixation $510.35 6 6
R972 Deformity - Double level correction circular external fixation $638.40 6 6
R973 Deformity - Bone transport - circular external fixation (less than or equal to 6 cm) $634.70 6 6
R974 Deformity - Bone transport - circular external fixation (greater than 6 cm) $763.80 6 6
R331 Leg length discrepancy - Tibial lengthening $470.50 6 6
R458 Leg length discrepancy - Tibial shortening $387.00 6 6
R339 Leg length discrepancy - Tibial epiphysiodesis $322.05 7 6
R342 Leg length discrepancy - Tibial stapling - one side $193.00 7 6
R460 Leg length discrepancy - Tibial stapling - both sides $242.25 6 6
R975 Leg length discrepancy - Lengthening with circular external fixation (less than or equal to 6 cm) $438.00 6 6
R976 Leg length discrepancy - Lengthening with circular external fixation (greater than 6 cm) $655.15 6 6
R363 Pseudoarthrosis - Malleoli $296.05 7 6
R276 Deformity - Osteotomy - metatarsals and phalanx $144.80 7 6
E596 - each additional . . . Add $41.70
R277 Deformity - Osteotomy - midtarsal/tarsal $242.25 7 6
R337 Deformity - Shortening metatarsal - one $225.50 6 6
R338 Deformity - Shortening metatarsal - two or more $272.80 7 6
R977 Deformity - Shortening metatarsal - Circular external fixation without osteotomy* $583.75 6 6
R978 Deformity - Shortening metatarsal - Circular external fixation with osteotomy* $729.45 6 6
R979 Deformity - Shortening metatarsal - Circular external fixation with multiple osteotomies* $911.30 6 6
R430 Forefoot - Claw and hammer toe $151.25 6 6
E594 - each additional hammer toe . . . add $41.70
R304 Forefoot - Hallux Valgus - e.g. Mayo, Keller $217.15 7 6
R355 Forefoot - Hallux Valgus - e.g. Joplin, McBride $267.25 7 6
R360 Forefoot - Hallux Valgus - Major forefoot reconstruction, must include the first MP joint and a minimum of 2 other MP joints $459.45 7 6
R446 Forefoot - Hallux Valgus - Overlapping 5th toe $136.35 7 6
R408 Club Foot - Posterior or medial release $312.70 7 6
R448 Club Foot - Posteromedial release, lateral shortening, tendon transfers and fusion $371.20 7 6
R313 Club Foot - Complex reconstruction or revision of previous club foot repair (not to include simple tendon releases) $468.65 6 6
R546 Club Foot -Plantar fascia release (Steindler) $165.20 6 6
R640 Tendons - Exploration tendon sheath $126.25 7 6
R565 Tendons - Tendon transfer foot and ankle - single $253.30 7 6
E055 - Tendons Tendon transfer foot and ankle each additional . . . Add $94.60
R572 Tendons - Tendon transfer foot and ankle - Tenodesis $258.90 7 6
R560 Tendons - Tendon transfer foot and ankle - Graft $253.30 6 6
E053 - each additional . . . Add $94.60
R579 Tendons - Tenotomy open - one toe $87.20 6
R581 Tendons - Tenotomy open - more than one toe $193.00 7
Z229 Tendons - Tenotomy closed - one toe $49.20 7
Z243 Tendons - Tenotomy closed - more than one toe $97.35 7
R544 Tendons - Achilles or tibialis anterior/posterior tenotomy - open $171.70 7 6
R555 Tendons - Achilles or tibialis anterior/posterior tenotomy - closed $132.70 6

Release

Code Description Amount Ans Units Assist Units
R575 Tendon - Tenolysis flexor and/or extensor tendon of - one digit $194.05 6 6
E537 - Tendon Tenolysis flexor and/or extensor tendon of each additional digit . . . Add $165.20
R541 Flexor tenolysis with pulley preservation $309.00 6 6
Z247 Tenotomy or fasciotomy (closed) - Finger - one $49.20 6
Z248 Tenotomy or fasciotomy (closed) - Finger - two $72.35 7
Z249 Tenotomy or fasciotomy (closed) - Finger - three or more $99.15 6
Z231 Tenotomy or fasciotomy (closed) - Finger - three or more $73.70 7
R536 Tendon release (open) - finger/palm $156.50 6
E592 - more than one, to R536 . . . Add $133.05
R537 Tendon release (open) - wrist $175.00 6 6
E571 - more than one, to R537 . . . Add $148.75
R519 Muscles and tendons - simple, e.g. tennis elbow $136.35 6 6
R521 Muscles and tendons - radical, e.g. muscle slide $314.60 7 6
R526 Sternomastoid $296.05 7 6

Reduction

Code Description Amount Ans Units Assist Units
F004 Fractures - Phalanx - no reduction, rigid immobilization $49.20
F005 Fractures - Phalanx - closed reduction $99.25 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E558 - Fractures Phalanx each additional . . . Add $22.25
F007 Fractures - Phalanx - open reduction $298.45 7 6
F008 Fractures - Metacarpal - no reduction, one or more, rigid immobilization $49.20
F009 Fractures - Metacarpal - closed reduction $99.25
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E504 - Fractures Metacarpal each additional . . . Add $22.20
F011 Fractures - Metacarpal - open reduction $262.60 7 6
E559 - each additional (open) . . . Add $142.90
F006 Fractures - Intra-articular - closed reduction $119.75
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E503 - each additional . . . Add $26.85
F010 Fractures - Intra-articular - open reduction $335.80 7 6
F012 Fractures - Bennett's - no reduction, rigid immobilization $49.20
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F013 Fractures - Bennett's - closed reduction $119.80 6 6
F015 Fractures - Bennett's - open reduction $335.80 7 6
F102 Fractures - Carpus - no reduction, rigid immobilization $49.20
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F016 Fractures - Carpus - closed reduction, one or more $115.10 6
F017 Fractures - Carpus - open reduction, one or more $346.15 7 6
F018 Fractures - Scaphoid - no reduction, rigid immobilization $49.20
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F019 Fractures - Scaphoid - open reduction $480.00 7 6
F020 Fractures - Scaphoid - excision $193.00 7 6
D001 Fractures - Dislocations - Finger - closed reduction $57.50
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E576 - each additional . . . Add $10.25
D003 Fractures - Dislocations - Finger - open reduction $195.00 6 6
D004 Fractures - Dislocations - Metacarpal/phalangeal - closed reduction $57.50
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E577 - each additional . . . Add $10.25
D006 Fractures - Dislocations - Metacarpal/phalangeal - open reduction $181.85 7 6
D007 Fractures - Carpal - closed reduction $128.05 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
D008 Fractures - Carpal - open reduction $241.30 7 6
D009 Dislocations - Elbow joint - closed reduction $84.45 6
D010 Dislocations - Elbow joint - open reduction acute $252.45 7 6
R400 Dislocations - Elbow joint - repair chronic, recurrent $379.50 6 6
D012 Dislocations - Radial head - closed reduction, pulled elbow $39.00 6
D011 Dislocations - Radial head - open reduction - acute $193.00 7 6
R540 Dislocations - Radial head - open reduction - recurrent $227.40 7 6
R558 Dislocations - Radial head - open reduction - late $357.20 7 6
F029 Fractures - Epicondyle - no reduction $67.75
F037 Fractures - Epicondyle - closed reduction $126.25 6 6
F038 Fractures - Epicondyle - open reduction $214.45 7 6
F039 Fractures - Transcondylar/condylar - no reduction $67.75
F040 Fractures - Transcondylar/condylar - closed reduction $298.35 6 6
F045 Fractures - Transcondylar/condylar - closed reduction with traction $312.70 6 6
F041 Fractures - Transcondylar/condylar - open reduction $375.80 7 6
F034 Fractures - Olecranon - no reduction, rigid immobilization $126.25 6
F035 Fractures - Olecranon - closed reduction $129.00 6 6
F036 Fractures - Olecranon - open reduction $224.55 7 6
F024 Fractures - Radius and ulnar shaft - no reduction, rigid immobilization $67.75
F025 Fractures - Radius and ulnar shaft - closed reduction $148.50 6 6
F026 Fractures - Radius and ulnar shaft - open reduction $368.40 7 6
F014 Fractures - Radius and ulna Monteggia - no reduction, rigid immobilization $67.75
F022 Fractures - Radius and ulna Monteggia - closed reduction $144.80 6
F023 Fractures - Radius and ulna Monteggia - open reduction of ulna plus closed reduction radial head $242.25 7 6
F031 Fractures - Radius or ulna - no reduction, rigid immobilization $81.30
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F032 Fractures - Radius or ulna - closed reduction $117.85 6 6
F033 Fractures - Radius or ulna - open reduction $274.00 7 6
F027 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - no reduction, rigid immobilization $67.75
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F028 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under local or regional anaesthetic $109.45
F046 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under general anaesthetic $149.35 6 6
F030 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - open reduction $420.00 7 6
F021 Fractures - Osteochondral - open reduction $392.40 7 6
F047 Fractures - Tuberosity - no reduction $67.80
F048 Fractures - Tuberosity - closed reduction $117.85 6 6
F049 Fractures - Tuberosity - open reduction (without cuff tear) $290.55 6 6
F053 Fractures - Neck without dislocation of head - no reduction $67.80
F054 Fractures - Neck without dislocation of head - closed reduction $133.60 6
F055 Fractures - Neck without dislocation of head - open reduction $327.55 6 6
F050 Fractures - Neck with dislocation of head - no reduction $67.80
F051 Fractures - Neck with dislocation of head - closed reduction $183.80 6 6
F052 Fractures - Neck with dislocation of head - open reduction $385.15 6 6
F042 Fractures - Shaft - no reduction $67.80
F043 Fractures - Shaft - closed reduction $147.60 6 6
F044 Fractures - Shaft - open reduction $323.05 6 6
F110 Fractures - Clavicle - closed reduction with anaesthetic $62.20 7 6
F118 Fractures - Clavicle - open reduction $300.00 7 6
F119 Fractures - Scapula - no reduction $67.80
F121 Fractures - Scapula - open reduction $242.25 6 6
F123 Fractures - Sternum - closed reduction $115.95
F124 Fractures - Sternum - open reduction pleura open $0.00 13 9
F125 Fractures - Sternum - pleura closed $0.00 6 6
F131 Fractures - Ribs - pleura closed $0.00 6 6
D014 Dislocations - Acromio-clavicular/sterno-clavicular - no reduction $67.80
D025 Dislocations - Acromio-clavicular/sterno-clavicular - closed with anaesthetic $134.55 6 6
D023 Dislocations - Acromio-clavicular/sterno-clavicular - open reduction $231.10 7 6
R596 Dislocations - Acromio-clavicular/sterno-clavicular - late $286.70 6 6
D015 Dislocations - Glenohumeral joint - closed reduction without anaesthetic $49.20
D016 Dislocations - Glenohumeral joint - closed reduction with anaesthetic $111.40 6
D017 Dislocations - Glenohumeral joint - open reduction, early $323.85 6 6
R472 Dislocations - Glenohumeral joint - open reduction, late $580.90 10 6
R401 Dislocations - Glenohumeral joint - open reduction, recurrent $379.50 10 6
F136 Fractures - Nasal bones to include manipulation of nasal septum - closed reduction $102.35 6
F137 Fractures - Nasal bones to include manipulation of nasal septum - open reduction $316.35 10
E825 - with miniplate(s)**, per major fracture line . . . Add $63.95
F150 Fractures - Orbit with maxilla - closed reduction and dental wiring $256.40 7
F142 Fractures - Orbit with maxilla - with wiring and local fixation $685.20 7 6
E830 - with miniplate(s)**, per major fracture line . . . Add $107.20
E932 - unilateral . . . Add $205.00
E935 - bilateral . . . Add $307.70
F143 Fractures - Midface fractures - middle ¼ facial $577.65 8 6
E830 - Fractures Orbit with maxilla with wiring and local fixation with miniplate(s)**, per major fracture line . . . Add $107.20
F144 Fractures - Midface fractures - cranialfacial separation $1,594.90 10 6
E830 - Fractures Orbit with maxilla with wiring and local fixation with miniplate(s)**, per major fracture line . . . Add $107.20
F134 Fractures - Pelvic ring - closed reduction $442.45 6 6
F135 Fractures - Pelvic ring - open reduction $680.30 8 6
F098 Fractures - Femoral neck trochanteric, subtrochanteric - closed reduction/traction $426.90 6 6
F099 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin only $408.30 8 6
F100 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin and plate/screws (cannulated included) $498.95 10 6
F101 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction primary prosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar) $490.95 10 6
R600 Fractures - Femoral neck trochanteric, subtrochanteric - delayed/staged graft $289.50 8 6
R607 Fractures - Slipped epiphysis - closed reduction/traction $387.00 8 6
R642 Fractures - Slipped epiphysis - closed reduction/internal fixation $387.00 8 6
R627 Fractures - Slipped epiphysis - open reduction/fixation $580.90 8 6
D052 Dislocations - Acetabulum - open reduction lips $612.45 8 7
D046 Dislocations - Acetabulum - open reduction one pillar $967.90 10 6
D047 Dislocations - Acetabulum - open reduction two pillars $1,451.45 12 8
D042 Dislocations - Hip - closed reduction $268.25 6
D043 Dislocations - Hip - open reduction $406.45 7 7
R628 Dislocations - Hip - late, after four weeks open $774.90 10 7
D059 Dislocations - Sacro-iliac - closed, traction, spica, etc $428.50 6
D060 Dislocations - Sacro-iliac - open reduction $593.00 6 6
D061 Dislocations - Sacro-coccygeal - open, removal of coccyx $193.00 6 6
R404 Dislocations - Congenital hip - closed reduction (includes tenotomy and cast) $190.20 7
R405 Dislocations - Congenital hip - repeat (includes cast) $131.80 6
R406 Dislocations - Congenital hip - open reduction (includes tenotomy and arthrotomy) $472.35 7 7
Z291 Dislocations - Congenital hip - Application Pavlik Harness or C.D.H. Splint $24.10
F085 Fractures - Patella - no reduction $67.75
F087 Fractures - Patella - open reduction or excision with or without repair $275.65 7 6
D038 Dislocations - Knee - closed reduction $207.90 6
D039 Dislocations - Knee - open reduction $309.00 7 6
D040 Dislocations - Patella - closed reduction - without anaesthetic $62.20
D031 Dislocations - Patella - closed reduction - with anaesthetic $97.35 6
D041 Dislocations - Patella - open reduction - early $290.55 7
R255 Dislocations - Patella - open reduction - late $484.35 7 6
R403 Dislocations - Patella - open reduction - repair recurrent dislocation (includes inspection of joint) $393.40 7 6
R515 Dislocations - Patella - open reduction - Congenital dislocation knee (open) $484.35 7 6
F078 Fractures - Tibia with or without fibula - no reduction, rigid immobilization $115.95
F079 Fractures - Tibia with or without fibula - closed reduction $180.50 6 6
F080 Fractures - Tibia with or without fibula - open reduction shaft $356.40 6 6
E041 - Pseudoarthrosis intramedullary nail with distal and proximal locking screws tibia . . . ADD $81.55
F081 Fractures - Intramedullary nail with distal and proximal locking screws - medial or lateral tibial plateau $394.45 6 6
F082 Fractures - Fibula - no reduction, rigid immobilization $67.75
F083 Fractures - Fibula - closed reduction $101.25 6
F084 Fractures - open reduction $230.20 7 6
F074 Fractures - Ankle - no reduction rigid immobilization $67.75
F075 Fractures - Ankle - closed reduction $144.80 6 6
F076 Fractures - open reduction - one malleolus $237.50 7 6
F077 Fractures - open reduction - multiple malleoli or ligaments $400.00 7 6
F104 Fractures - Ankle fracture with tibial Plafond burst - closed reduction $242.25 6 6
F108 Fractures - Ankle fracture with tibial Plafond burst - open reduction $362.95 6 6
F061 Fractures - Metatarsus - one or more $49.20
F062 Fractures - Metatarsus - with rigid immobilization $67.75
F063 Fractures - closed reduction - one or more $98.35 6 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F064 Fractures - open reduction - one $178.20 7 6
F065 Fractures - open reduction - two or more $249.65 7 6
F070 Fractures - Os calcis - no reduction rigid immobilization $97.35
F071 Fractures - Os calcis - closed reduction $161.45 7
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F072 Fractures - open reduction - with repair of both the subtalar and calcaneocuboid joints $500.00 6 6
F056 Fractures - Phalanx - no reduction rigid immobilization $49.20
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E560 - each additional . . . Add $12.05
F058 Fractures - Phalanx - closed reduction - one $72.35
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E561 - each additional . . . Add $14.90
F060 Fractures - Phalanx - open reduction $172.30 7 6
F066 Fractures - Tarsus excluding os calcis - no reduction rigid immobilization $98.10
F067 Fractures - Tarsus excluding os calcis - closed reduction $165.20 6 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F068 Fractures - Tarsus excluding os calcis - open reduction $237.50 6
F057 Fractures - Intraarticular fracture I.P. Joint - closed reduction $77.95
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
F059 Fractures - Intraarticular fracture I.P. Joint - open reduction $144.80 7 6
D035 Dislocations - Ankle - closed reduction $111.35 6 6
D036 Dislocations - Ankle - open reduction $252.45 7 6
R402 Dislocations - Ankle -recurrent dislocation and/or subluxation $367.45 7 6
D027 Dislocations - Interphalangeal - closed reduction $57.50 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E578 - each additional . . . Add $10.25
D029 Dislocations - Interphalangeal - open reduction $151.25 6 6
D030 Dislocations - Metatarsophalangeal - closed reduction $57.50 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
E579 - each additional . . . add $10.25
D032 Dislocations - Metatarsophalangeal - open reduction $163.35 7 6
D033 Dislocations - Tarsus - closed reduction $147.60 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
D034 Dislocations - Tarsus - open reduction $252.45 7 6
D026 Dislocations - Tarsus - Tarsometatarsal - closed reduction, one or more joints $147.60 6
D028 Dislocations - Tarsus - Tarsometatarsal - open reduction, one joint $300.00 6 6
E508 - each additional joint, to D028 . . . Add $85.00

Decompression/Denervation

Code Description Amount Ans Units Assist Units
R495 Fasciotomy for compartment syndrome (not including secondary closure wound) . $320.20 7 6
Z251 Catheter - insertion $49.20
N190 Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow) $215.35 7 6
N189 Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis $279.25 7 6
R426 Denervation - elbow $258.00 7 6
N184 Decompression of posterior tibial or common perineal nerve $165.20 7 6

Examination And Manipulation

Code Description Amount Ans Units
Z223 Manipulation under general anaesthetic $49.20 6

Deformity

Code Description Amount Ans Units Assist Units
R260 Osteotomy - humerus $292.35 7 6
R235 Osteotomy - glenoid $279.35 6 6
R957 Osteotomy - Single level correction circular external fixation $510.35 6 6
R958 Osteotomy - Double level correction circular external fixation $638.40 6 6
R959 Osteotomy - Bone transport - circular external fixation (less than or equal to 6 cm) $655.15 6 6
R960 Osteotomy - Bone transport - circular external fixation (greater than 6 cm) $763.80 6 6
R961 Osteotomy - Humeral lengthening - circular external fixation (less than or equal to 6 cm) $438.00 6 6
R962 Osteotomy - Humeral lengthening - circular external fixation (greater than 6 cm) $655.15 6 6

Orthognathic Surgery

Code Description Amount Ans Units Assist Units
R382 Anterior dento-alveolar osteotomy, maxilla or mandible - one segment $803.80 15 6
R383 Anterior dento-alveolar osteotomy, maxilla or mandible - two segments $932.10 15 6
R349 Posterior dento-alveolar osteotomy, maxilla - one side $803.80 15 6
R351 Posterior dento-alveolar osteotomy, maxilla - both sides, single segment $932.10 15 6
R385 Posterior dento-alveolar osteotomy, maxilla - both sides, separate segments $1,187.50 15 6
R462 Posterior dento-alveolar osteotomy, mandible - one side $803.80 15 6
R463 Posterior dento-alveolar osteotomy, mandible - both sides $1,187.50 15 6
R502 Total U dento-alveolar osteotomy - mandible $1,228.70 15 6
R507 Total U dento-alveolar osteotomy - maxilla $1,315.70 15 6
R511 Total U dento-alveolar osteotomy - Mandibular or maxillary visor osteotomy for alveolar hypoplasia $1,146.40 15 6
R386 Genioplasty - one segment $384.60 10 6
R387 Genioplasty - two segments, or for laterognathia $575.45 10 6
R388 Genioplasty - three segments $767.85 10 6
R480 Mandibular osteotomies for prognathism - subcondylar $420.10 7 6
R384 Mandibular osteotomies for prognathism - vertical ramus $932.10 15 6
R518 Mandibular osteotomies for prognathism - sagittal split $932.10 15 6
R520 Mandibular osteotomies for retrognathia, any technique - advancement - up to 10 mm $932.10 15 6
R529 Mandibular osteotomies for retrognathia, any technique - advancement - 10 to 20 mm, inclusive $1,058.40 15 6
R535 Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm $1,356.90 15 6
E588 - Mandibular osteotomies for retrognathia, any technique for apertognathia or laterognathia . . . Add $256.40
R379 LeFort I advancement - in one segment $803.80 20 10
E961 - LeFort I advancement in two segments . . . Add $296.60
E962 - LeFort I advancement in three segments . . . Add $594.20
R538 LeFort I intrusion - in one segment $1,059.35 20 10
E963 - LeFort I intrusion in two segments . . . Add $296.60
E964 - LeFort I intrusion in three segments . . . Add $594.20
R567 LeFort I extrusion - in one segment* $1,315.70 20 10
E965 - LeFort I extrusion in two segments . . . Add $296.60
E966 - LeFort I extrusion in three segments . . . Add $594.20
R580 LeFort I cleft palate - in one segment* $1,525.30 20 10
E967 - LeFort I cleft palate in two segments . . . Add $256.40
E968 - LeFort I cleft palate in three segments . . . Add $511.90
E969 - LeFort I cleft palate with SMR . . . Add $204.80
E970 - LeFort I cleft palate with pharyngoplasty . . . Add $307.15
E971 - LeFort I cleft palate with closure alveolar fistula with or without bone graft . . . Add $383.65
E972 - LeFort I cleft palate with closure hard palate fistula with or without bone graft . . . Add $511.90
R588 Nasomaxillary osteotomy without LeFort I* $803.80 15 6
R389 LeFort II maxillary osteotomy and advancement* $1,443.95 20 10
R395 Construction glenoid fossa and zygomatic arch* (Obwegeser technique) $1,402.75 20 10
R396 Construction absent condyle and ascending ramus* $803.80 10 6
R609 Combined LeFort I and LeFort III osteotomy in hemifacial microsomia $1,586.20 20 10
R145 Mandibular condylotomy $204.80 7 6
R618 Coronoidotomy $204.80 7 6
R644 Coronoidectomy $307.15 6 6
R334 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - partial $409.55 15 6
R335 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - complete $819.15 15 6
R645 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - partial $819.15 15 6
R646 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - complete $1,023.95 15 6
R647 Oral vestibuloplasty - with secondary epithelization $204.80 6 6
R648 Oral vestibuloplasty - with skin graft $307.15 6 6
R649 Temporomandibular ankylosis - excision bone or fibrous block $461.30 7 6
R650 Temporomandibular ankylosis - with insertion of prosthetic device or muscle flap $511.90 13 6
R651 Temporomandibular ankylosis - with construction of condyle and ascending ramus* $666.00 15 6
Z253 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - unilateral $394.80
Z254 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - bilateral $507.45
Z255 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - unilateral $394.80
Z256 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - bilateral $507.45
Z257 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - unilateral $337.85
Z258 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - bilateral $450.50
Z259 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - unilateral $450.50
Z260 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - bilateral $563.10
Z261 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - unilateral $450.50
Z262 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - bilateral $563.10
Z239 Application of dental arch bars, or splint, for facial osteotomy - one arch bar $133.00 6 6
Z240 Application of dental arch bars, or splint, for facial osteotomy - two arch bars $204.80 7 6
R354 Interdental wiring for temporomandibular joint disorder $154.00 7 6
R652 Interdental wiring for temporomandibular joint disorder - Removal intermaxillary fixation devices under general anaesthesia - as sole procedure $102.35 6

Orbito Cranial Surgery

Code Description Amount Ans Units Assist Units
R390 Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts* (extracranial) $1,699.45 20 10
R653 Bilateral periorbital correction Treacher-Collins Syndrome - with skull and muscle transpositions* (includes skull reconstruction) (intracranial) $2,196.35 25 10
R654 Pericranial flap to orbit or face - unilateral $307.15 6
E973 - when in conjunction with coronal approach for main operation . . . add $178.90
R655 Pericranial flap to orbit or face - bilateral $409.55 7
E974 - when in conjunction with coronal approach for main operation . . . Add $297.55
R378 LeFort III total maxillary advancement* $2,037.35 25 12
R656 LeFort III and subcranial hypertelorism correction* $2,590.35 25 12
R657 LeFort III and LeFort I maxillary advancement* $2,334.85 25 12
R658 LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement* $2,928.10 25 12
R659 Upper LeFort III advancement without occlusal change* - unilateral $932.10 10 6
R675 Upper LeFort III advancement without occlusal change* - bilateral $1,443.95 25 12
R676 Forehead advancement (bone grafts not included) - unilateral $1,187.50 25 12
R393 Forehead advancement (bone grafts not included) - bilateral $1,443.95 25 12
R394 Cranial vault reshaping* anterior or posterior half $1,525.30 20 10
R677 Total cranial vault reshaping* $2,078.35 25 12
R398 Medial transnasal canthopexy - unilateral $414.30 6 6
E557 - when done in conjunction with another procedure . . . Add $154.00
R399 Lateral canthoplasty - unilateral $204.80 6 6
E930 - when done in conjunction with another procedure . . . Add $102.35
R376 Hypertelorism correction - intracranial approach* $2,334.85 25 12
R377 Hypertelorism correction - subcranial U osteotomies* $1,950.15 25 12
R678 Hypertelorism correction - medial orbital wall osteotomies* $1,228.70 20 10
R679 Hypertelorism correction - medial and lateral orbital wall osteotomies* $1,612.30 20 10
R391 Orbital dystopia - intracranial approach $1,950.15 25 12
R392 Orbital dystopia - intracranial approach $1,485.10 20 10
R380 Orbital cranial osteotomy - intracranial approach $1,495.50 25 12
R381 Orbital cranial osteotomy - extracranial approach $1,121.50 20 10
R680 Late correction traumatic enophthalmos - intracranial $1,997.05 25 12
R681 Late correction traumatic enophthalmos - extracranial $1,443.95 20 10
Z263 Harvesting of bone graft when not included - Iliac bone graft $102.35
Z264 Harvesting of bone graft when not included - Rib graft - one rib $154.00
E975 - Harvesting of bone graft when not included Rib graft each subsequent rib . . . add $76.50
Z265 Harvesting of bone graft when not included - Costochondral or chondral graft - one rib $230.65
E976 - Harvesting of bone graft when not included Costochondral or chondral graft each subsequent rib . . . Add $154.00
Z266 Harvesting of bone graft when not included - Costochondral or chondral graft - split cranial graft $204.80

Surgery For Correction Of Down's Syndrome Facial Stigmata

Code Description Amount
Z267 Augmentation of zygoma (bilateral) - with prosthetic implant $184.60
Z268 Augmentation of zygoma (bilateral) - with autogenous bone or cartilage* $230.65
Z269 Augmentation of chin - with prosthetic implant $154.00
Z270 Augmentation of chin - with autogenous bone or cartilage* $189.45
Z271 Augmentation of chin - Horizontal resection, red lower lip $184.60
R347 Bicoronal flaps $200.00
E173 - Fractures Orbit open reduction rim/wall fracture Zygomatic fracture dislocation $594.70
E933 - Fractures Orbit open reduction rim/wall fracture Zygomatic fracture dislocation with miniplate(s)**, per major fracture line . . . Add $99.85
E934 - Fractures Orbit open reduction rim/wall fracture Zygomatic fracture dislocation with primary bone graft (separate site) . . . Add $204.80
E174 - Fractures Orbit blowout fracture of floor $667.00

Examination/Manipulation

Code Description Amount Ans Units Assist Units
Z222 Manipulation under general anaesthetic $24.10
Z252 Manipulation - under general anaesthetic $39.00 6
R431 Excision - Baker's cyst - simple $148.50 6 6
R434 Excision - Baker's cyst - extensive $264.50 7 6
R501 Excision - Baker's cyst - Cysts of meniscus $126.25 6 6
R429 Excision - Baker's cyst - Meniscectomy $241.30 6 6
R417 Excision - Debridement of joint without synovectomy $290.55 7 6
R424 Excision - Synovectomy $430.65 7 6
R506 Excision - Prepatellar bursae $149.45 6 6
R312 Excision - Patella - to include fascial repair $276.55 7 6
R318 Excision - Excision exostosis/cyst patella $126.25 6 6
Z235 Club foot, etc. - manipulation and cast/strapping - without anaesthetic $19.45
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
Z224 Club foot, etc. - manipulation and cast/strapping - with anaesthetic $39.00 6

Incision And Drainage

Code Description Amount Ans Units Assist Units
R219 Phalanx/metacarpal/carpus - incision and drainage $182.90 6 6
R218 Phalanx/metacarpal/carpus - sequestrectomy $144.80 6 6
R217 Phalanx/metacarpal/carpus - saucerization and bone graft $242.25 7 6
R534 Phalanx/metacarpal/carpus - Tendon sheath $225.00 6 6
R228 Acute $302.55 7 6
Z226 Soft tissue or bursa, incision and drainage $97.35
R231 Sequestrectomy $355.35 7 6
R229 Saucerization and bone grafting $452.90 7 6
Z234 Mandibular sequestrectomy $281.25 7 7
R269 Bone $290.55 7 6
R249 Sequestrectomy $379.50 7 6
R250 Saucerization and bone graft $627.30 6 6
R242 Bone $325.75 7 6
R245 Sequestrectomy $395.25 7 6
R243 Saucerization and graft $619.90 6 6
R444 Joint $193.00 7 6
R237 Bone $308.10 7 6
R239 Sequestrectomy $329.40 7 6
R238 Saucerization and bone grafting $411.20 7 6
R220 Bone $227.40 7 6
R201 Sequestrectomy $193.00 7 6
R202 Saucerization and bone graft $387.00 7 6

Decompression Denervation

Code Description Amount Ans Units Assist Units
N290 Decompression median nerve at wrist (carpal tunnel syndrome) $156.75 6 6
N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) $256.15 7 6

Fixation

Code Description Amount Ans Units Assist Units
R267 Removal of internal fixation device - general anaesthetic $158.65 6 6
R268 Removal of internal fixation device - local anaesthetic $54.85 6 6
R598 Removal of extensive external fixation device under general anaesthetic $48.25 6
Z280 Adjustment of circumferential external fixation - without general anaesthetic $72.35
Z281 Adjustment of circumferential external fixation - with general anaesthetic $145.70
Z210 Adjustment of circumferential external fixation - Insertion traction pin excludes fractures and dislocations $33.35
E550 - Wound Care insertion of closed irrigation system during a surgical procedure for postoperative management . . . Add $63.15

Wound Care

Code Description Amount Ans Units
Z783 Secondary closure $97.35 7
R517 Excision of foreign body $107.70 6
Z250 Chronic Electrical Stimulation (not to include T.E.N.S.) external or internal $193.00 7
Z273 Muscle core biopsy using a 6mm or larger Bergstrom muscle biopsy needle or equivalent kit includes one or more biopsies $63.35 15

Orthopaedic Tumour Surgery

Code Description Amount Ans Units Assist Units
R226 Biopsy of suspected sarcoma, or resection of a complex bone or complex soft tissue tumour(s), per 15 minutes $100.00 15 10

Casts

Code Description Amount Ans Units Assist Units
Z201 Finger $10.25
E584 - application of plaster cast outside hospital . . . Add $11.15
Z202 Hand $14.90 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
Z203 Arm, forearm or wrist $24.10 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
Z199 Foot $14.90 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
Z213 Below knee, knee splints (Stove pipe, etc.) $24.10 6
Z211 Whole leg (mid thigh to toes) $28.80 6
Z198 Toes $10.25 6
E584 - Finger application of plaster cast outside hospital . . . Add $11.15
Z205 Head and torso $97.35 6 6
Z208 Shoulder spica $97.35 7 6
Z206 Body cast $57.50 6 6
Z207 Hip spica - unilateral $97.35 6 6
Z209 Hip spica - bilateral $121.60 7 6
Z216 Wedging of casts in other than fracture treatment $10.25
Z200 Application of Unna's paste $14.90
Z873 Application of cast brace (must include hinge) $67.75
Z204 Removal of plaster (not associated with fractures or dislocations within 2 weeks of initial treatment) $10.25

Amputation

Code Description Amount Ans Units Assist Units
R606 Phalanx $161.45 6
R608 Metacarpal or metaphalangeal joint $190.20 7
E583 - each additional . . . add $94.60
R610 Trans. metacarpal 2nd to 5th ray $279.35 7
R611 Hand all 'metacarpals $289.50 7 6
R612 Wrist $289.50 6 6
R629 Revision of amputated finger tip $241.55 6 6
R613 Through radius and ulna $306.30 7 6
R614 Elbow disarticulation $289.50 6 6
R617 Forequarter $490.95 15 10
R616 Shoulder disarticulation $373.10 9 9
R615 High humerus $369.35 6 6
R631 Hemipelvectomy hindquarter $796.20 15 10
R630 Hip disarticulation $449.20 10 10
R625 GrittiStokes or Callander $305.25 7 6
R626 Through femur $306.30 7 6
R624 Tibia/fibula $306.30 7 6
R620 Metatarsal/phalanx disarticulation $155.90 6 6
E585 - each additional . . . add $47.30
R621 Ray (single) $217.15 6 6
R623 Symes $285.80 7 6
R622 Transmetatarsal/transtarsal $235.75 7 6
R619 Terminal Symes $144.80 6 6

Arthrodesis

Code Description Amount Ans Units Assist Units
R465 Finger-thumb $256.15 7 6
R466 Wrist $400.00 6 6
R467 Shoulder $468.65 6 6
R469 Sacro-iliac joint $395.25 7 6
R514 Symphysis pubis $387.00 7 6
R470 Hip $703.45 8 6
R468 Knee $402.75 6 6
R552 Ankle - revision of arthrodesis $506.65 7 6
R471 Interphalangeal $151.85 6 6
E575 - each additional . . . add $41.70
R477 Metatarsophalangeal $247.25 7 6
R695 Subtalar $450.00 6 6
E511 - additional midtarsal(s), to R695 . . . Add $100.00
R696 Midtarsal, single joint $500.00 6 6
E512 - additional midtarsal(s), to R696 . . . Add $100.00
R697 Metatarsaltarsal (fusion of one or more joints) $300.00 6 6
R475 Pantalar, one stage $626.45 6 6

Arthroplasty

Code Description Amount Ans Units Assist Units
R437 Wrist - interposition $374.00 7 6
R485 Wrist - total $426.90 6 6
R479 Wrist - removal only $193.00 6 6
R435 Hand - interposition - single $254.35 7 6
R436 Hand - interposition - multiple $459.40 7 6
R489 Single joint total (arthrodesis and/or arthroplasties) maximum of 4 $290.55 7 6
R209 Basal thumb first carpometacarpal joint $363.05 7 6
R500 Removal only $144.80 6 6
R236 Carpal replacement $322.05 7 6
R281 Ulna replacement (lower end) $296.90 6 6
R288 Implant radial head $251.55 6 6
R499 Removal of total replacement $402.75 7 6
R486 Complete arthroplasty replacement $619.90 8 6
R510 Interposition arthroplasty $435.20 7 6
R438 Humeral prosthesis $449.20 10 6
R487 Total prosthesis $695.10 10 8
R240 Revision total arthroplasty shoulder $942.95 15 8
R498 Removal prosthesis/no replacement $397.20 8 6
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 10 6
E478 - Pinning of osteochondral fragment, to R682 . . . Add $251.55
E484 - Superior labral anterior posterior (SLAP) repair, to R684 . . . Add $336.65
E485 - Arthroscopic capsular release for frozen shoulder, to R684 . . . Add $240.50
R433 Temporomandibular joint - unilateral $349.30 10 6
R439 Unipolar $490.95 10 6
R440 Total hip replacement - acetabulum and femur $696.00 10 8
R553 Total hip replacement with take down of fusion $972.90 15 8
R241 Revision total arthroplasty hip - one or both components - acetabular or femoral $1,304.80 15 8
E589 - bone graft to acetabulum . . . add $101.25
E593 - acetabular reconstruction (extensive, including bone grafts) . . . add $194.00
R481 Revision total arthroplasty hip - one or both components - Reattachment of greater trochanter (late) $290.55 8 6
R443 Removal only - noncemented $447.30 8 6
R488 Removal only - cemented $557.75 8 6
R491 Removal only - Replacement acetabular liner and/or femoral head $353.25 10 8
R509 Patellar arthroplasty $241.60 7 6
R482 Hemiarthroplasty - single component (e.g. MacIntosh) $351.70 6 6
R483 Hemiarthroplasty - double component (e.g. Marmar) $619.90 7 8
R441 Hemiarthroplasty -Total replacement/both compartments $619.90 8 8
R248 Hemiarthroplasty - Total knee replacement with take down of fusion $838.00 8 8
R244 Hemiarthroplasty - Revision total arthroplasty knee $1,174.30 8 8
E598 - with associated patellar replacement or patelloplasty, to R482, R483, R441, R248 or R244 . . . Add $94.60
R442 Hemiarthroplasty - Replacement Liner $353.25 8 8
R496 Hemiarthroplasty - Removal of hemiarthroplasty without replacement $242.25 7 6
R497 Hemiarthroplasty - Removal of total arthroplasty without replacement $368.40 6 6
R493 Ankle total replacement $1,177.50 10 8
R694 Ankle liner replacement $353.25 10 8
R456 Metatarsophalyngeal interposition - single $144.80 6 6
E538 - Metatarsophalyngeal interposition each additional . . . Add $38.00
R453 Metatarsophalyngeal (Swansons, etc.) $289.50 7 6
R454 Metatarsophalyngeal (Swansons, etc.) - multiple $387.00 7 6

Arthroscopy

Code Description Amount Ans Units Assist Units
R682 Wrist arthroscopy setup $400.00 7 6
E479 - Arthroscopy of midcarpal and/or distal radioulnar joint, through separate portals, to R682 . . . add $192.00
E478 - Pinning of osteochondral fragment, to R682 . . . Add $251.55
E480 - Triangular fibrocartilage complex repair, to R682 . . . Add $350.65
E482 - Soft tissue capsular release, for contractures, without bone procedure, to R682 . . . add $251.55
E483 - Synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect, to R682 . . . Add $326.55
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 $400.00 7 6
E478 - Pinning of osteochondral fragment, to R682 . . . Add $251.55
E482 - Soft tissue capsular release, for contractures, without bone procedure, to R682 . . . add $251.55
E483 - Synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect, to R682 . . . Add $326.55
E481 - Osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect), to R683 . . . Add $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 $669.80 10 6
E482 - Soft tissue capsular release, for contractures, without bone procedure, to R682 . . . add $251.55
E487 - Resection of labrum, to R686 . . . Add $240.00
E488 - Repair of labrum, to R686 . . . Add $350.00
E490 - Osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect), to R686 . . . Add $500.00
R687 Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica $97.35 7 6
E478 - Pinning of osteochondral fragment, to R682 . . . Add $251.55
E476 - Removal of symptomatic loose body(ies) and/or screw, to R687 . . . Add $192.00
E491 - Lateral release, to R687 . . . Add $161.45
E492 - Synovectomy for diseased synovium, anterior, posterior or complete, to R687 . . . add $231.30
E493 - Drilling of defect (includes removal of loose body(ies), to R687 . . . Add $251.55
E494 - Debridement 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty, to R687 . . . Add $299.00
E489 - Microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies), to R687 . . . Add $250.00
E495 - Menisectomy, partial or total, for symptomatic meniscal tear, to R687 . . . Add $240.45
E496 - Repair medial or lateral meniscus, includes when rendered debridement of attachment site, to R687 . . . Add $336.65
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 7 6
E478 - Pinning of osteochondral fragment, to R682 . . . Add $251.55
E483 - Synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect, to R682 . . . Add $326.55
E481 - Osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect), to R683 . . . Add $500.00
E477 - Arthroscopy of subtalar and/or intratarsal joint(s), through separate portals, to R688 . . . Add $192.00
R689 Excision of Os Trigonum (sole procedure) $230.00 7 6

Arthrotomy

Code Description Amount Ans Units Assist Units
R409 Finger $168.00 6
R410 Wrist $212.50 6 6
R445 Elbow, loose body, etc $199.55 6
R411 Shoulder $223.65 7 6
R547 Sacro-iliac joint $290.55 7 6
R415 Hip - with removal of loose body $301.60 7 6
R412 Knee with or without removal of loose body $207.90 7 6
R413 Osteochondritis dissecans with drilling and/or internal fixation $267.25 7 6
R503 Ankle - removal of loose body, etc. $167.10 6 6
E539 - with osteotomy of malleolus . . . add $117.85
R504 Ankle - Midtarsals $144.80 7 6
R505 Ankle - Metatarsal/phalangeal $144.80 6 6

Biopsy

Code Description Amount Ans Units Assist Units
Z230 Bone - punch, xray control $89.70 6
Z214 Bone - open biopsy or taking of bone graft by other than operating surgeon $144.80 6 6
Z221 Joint - needle $49.20
Z228 Soft tissue - open $97.35 6
Z219 Muscle needle biopsy, soft tissue, per site $31.20
Z225 Bone - needle $72.35
R432 Joint - open $171.45 6 6
Z220 Bone - needle/punch, xray control $89.70
R222 Incision and Drainage - Humerus/clavicle/scapula $262.60 7 6
R225 Incision and Drainage - Sequestrectomy $290.55 7 6
R223 Incision and Drainage - Saucerization with bone graft $387.90 7 6
Z869 Bone - punch, simple $48.50 7
Z870 Bone - punch, x-ray control $120.70 6
Z242 Bone - open $193.00 7 6
Z212 Bone - punch needle $89.70
Z217 Bone - under general anaesthetic $72.35
R256 Soft tissue - Injection into bone cysts $117.00

Denervation/Decompression

Code Description Amount Ans Units Assist Units
N188 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve $153.70 7 6
N177 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Sciatic nerve in buttock $430.75 7 6
R427 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Denervation of hip $387.00 6 6

Other

Code Description Amount Ans Units Assist Units
UVC Repair of lacerations - Removal of sutures only $0.00
E208 - Peritomy (Gunderson conjunctival flap) $225.00 6
F138 Mandible - closed reduction, includes maxillary-mandibular fixation $350.00 7 6
F139 Mandible - open reduction, per fracture, to include intermaxillary fixation $575.00 6 6
E828 - rigid internal fixation, any method, to F139 . . . Add $104.00
F140 Mandible - removal of intermaxillary fixation device(s) $100.00
F146 Mandible - complicated $0.00
D062 Dislocations - Temporomandibular joint - closed reduction $51.65 6
D063 Dislocations - Temporomandibular joint - open reduction $256.40 7 6