These are the most commonly used Respiratory surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z296 | Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - with flexible endoscope if only operative procedure performed | $19.20 | – | – |
| Z299 | Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - with rigid endoscope, for diagnostic evaluation, or to facilitate biopsy or surgical treatment of pathology in the posterior nasal cavity, hypopharynx or larynx | $8.55 | – | – |
| Z317 | Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Examination under anaesthesia (EUA) of nose including suction cautery for posterior epistaxis unilateral or bilateral | $112.05 | 6 | – |
| Z306 | Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Excision of middle turbinate concha bullosa unilateral | $55.60 | 7 | – |
| Z321 | Laryngoscopy - Direct - with or without biopsy | $61.30 | 6 | – |
| Z322 | Laryngoscopy - Direct - with removal of foreign body | $106.45 | 6 | – |
| Z323 | Laryngoscopy - Direct - with removal of lesion(s) | $226.35 | 6 | – |
| E643 - when using laser with microlaryngoscopy for benign disease, to Z323 . . . Add | $121.65 | – | – | |
| Z343 | Laryngoscopy - Direct - with dilatation of larynx, to include bronchoscopy if necessary | $202.35 | 7 | – |
| Z324 | Laryngoscopy - Indirect - with biopsy or removal of foreign body | $44.70 | 6 | – |
| Z360 | Bronchoscopy - Emergency rigid bronchoscopy for obstructed airway | $474.65 | – | – |
| Z327 | Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material | $124.90 | 6 | – |
| E846 - Bronchoscopy rigid bronchoscopy rendered immediately after flexible bronchoscopy, to Z327 . . . Add | $95.70 | – | – | |
| E632 - Bronchoscopy with removal of foreign body, to Z327. . . Add | $68.40 | – | – | |
| E633 - Bronchoscopy with dilatation of stricture, to Z327. . . Add | $44.55 | – | – | |
| E634 - Bronchoscopy with selective endobronchial blocker or catheter insertion, to Z327. . . Add | $52.00 | – | – | |
| E635 - Bronchoscopy with palliative endobronchial tumour resection including laser or cryotherapy, to Z327. . . Add | $67.20 | – | – | |
| E636 - Bronchoscopy with bronchoalveolar lavage for diagnosis of malignancy or diagnosis and/or treatment of infection and includes obtaining specimens suitable for differential cellular analysis, to Z327. . . Add | $50.00 | – | – | |
| E637 - Bronchoscopy with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site, to Z327. . . Add | $76.45 | – | – | |
| E638 - Bronchoscopy with transbronchial lung biopsy under image intensification only, to Z327 . . . Add | $81.90 | – | – | |
| E622 - Bronchoscopy any bronchoscopic procedure for patients under 3 years of age, to Z327 . . . Add | $79.40 | – | – | |
| E677 - Bronchoscopy transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes, to Z327 . . . Add | $104.00 | – | – | |
| E678 - Bronchoscopy TBNA of lung mass, to Z327 . . . Add | $104.00 | – | – | |
| E838 - Bronchoscopy bronchoscopy in a high risk patient with respiratory failure (i.e. severe hypoxemia or hypercapnia), to Z327 . . . Add | $79.40 | – | – | |
| Z342 | Bronchoscopy - Limited bronchoscopy with placement of endobronchial blocker and/or double lumen tube | $112.55 | – | – |
| Z359 | Bronchoscopy - Repeat bronchoscopy for tracheobronchial toilet when performed within one week of another bronchoscopic procedure | $56.65 | 6 | – |
| G050 | Bronchoscopy - Endobronchial ultrasound (EBUS), for guided biopsy of hilar and/or mediastinal lymph nodes | $203.05 | – | – |
| E837 - Bronchoscopy additional biopsy(s) performed by EBUS, to a maximum of 3, to G050 . . . Add | $50.75 | – | – | |
| Z355 | Quadroscopy or panendoscopy - with or without biopsy (nasopharyngoscopy, laryngoscopy, bronchoscopy, oesophagoscopy with or without gastroduodenoscopy) using separate instruments in search of malignant disease | $321.45 | 6 | – |
| Z329 | Mediastinoscopy | $380.00 | 7 | 6 |
| Z330 | Mediastinoscopy - with bronchoscopy | $490.00 | 7 | 6 |
| Z333 | Mediastinoscopy - with transbronchial biopsy under image intensification (including bronchoscopy) | $317.20 | 7 | 6 |
| Z328 | Mediastinoscopy - with mediastinotomy | $475.80 | 7 | 6 |
| Z348 | Mediastinoscopy - with bronchoscopy and mediastinotomy | $605.85 | 7 | 6 |
| Z347 | Anterior mediastinotomy - when sole procedure performed | $300.00 | 6 | 6 |
| Z335 | Thoracoscopy (pleuroscopy) with or without pleural biopsy, suction, etc | $228.40 | 7 | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| M100 | Tracheal rupture, transcervical | $654.30 | 10 | 9 |
| M101 | Tracheal-bronchial rupture, transthoracic | $868.15 | 13 | 9 |
| M109 | Chest wall - pleura - closed | $0.00 | 6 | – |
| M110 | Chest wall - pleura - open | $0.00 | 6 | – |
| M116 | Chest wall - pleura - fixation for trauma | $350.00 | 7 | 6 |
| E604 - Chest wall pleura for fixation of each additional rib exceeding four ribs . . . Add | $55.60 | 2 | – | |
| M117 | Chest wall - pleura - Sternal fixation for trauma | $251.45 | 6 | 6 |
| R352 | Chest wall - pleura - Pectus excavatum or carinatum repair (by reconstruction, not implant) | $750.00 | 11 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| M090 | Laryngoplasty e.g. repair of stenosis and fractures, transections not to be billed with M084 | $642.45 | 7 | – |
| M089 | Creation of tracheooesophageal fistula | $234.60 | 6 | 6 |
| Z320 | Insertion of voice prosthesis | $25.85 | – | – |
| Z303 | Removal of laryngeal stent or keel | $240.20 | 6 | – |
| Code | Description | Amount | Ans Units |
|---|---|---|---|
| M080 | Teflon augmentation larynx | $182.10 | 7 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z318 | Trephine or endoscopic frontal sinusotomy | $133.30 | 7 | – |
| M054 | Intranasal maxillary antrostomy – unilateral – by endoscopic or endonasal approach | $123.70 | 10 | 6 |
| M083 | Ethmoidectomy/Antrostomy - Intranasal ethmoidectomy including maxillary antrostomy, with endoscope – unilateral (not eligible for payment with M061 or M054) | $350.00 | 10 | – |
| E844 - Ethmoidectomy/Antrostomy bilateral procedure, to M083 . . . add | $200.00 | – | – | |
| Z350 | Ethmoidectomy/Antrostomy - Endoscopic sphenoidotomy unilateral | $123.70 | 10 | – |
| E843 - bilateral procedure, to Z350 . . . add | $103.05 | – | – | |
| E845 - Ethmoidectomy/Antrostomy when performed using a 3D CT/MRI image guided system, to M083 or Z350 . . . Add | $140.00 | – | – | |
| Z351 | Endoscopic Septoplasty | $122.40 | 10 | – |
| M086 | Transnasal endoscopic repair of CSF rhinorrhea (includes harvesting of graft material) with or without 3D CT/MRI image guided system | $822.45 | 15 | – |
| E600 - Laryngoscopy using operating microscope to charges for laryngoscopy . . . add | $33.60 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z319 | Antrum or sinus lavage - Antral puncture and/or lavage - unilateral or bilateral | $43.15 | 6 | – |
| M055 | Maxillary - Caldwell-Luc (includes intranasal antrostomy) - unilateral | $247.35 | 10 | 6 |
| M056 | Maxillectomy - partial or complete | $971.75 | 10 | 7 |
| E947 - with orbital exenteration, to M056 . . . add | $306.85 | – | – | |
| M058 | Maxillectomy -Radical frontal sinusectomy for tumour, radical exenteration of disease with drill out for access, or ostium revision | $460.20 | 10 | – |
| M063 | Coronal and/or osteoplastic procedure for frontal sinusectomy, reconstruction or obliteration -v unilateral or bilateral | $716.25 | 10 | 7 |
| M059 | External frontal-ethmoidal sinusectomy and/or reconstruction - unilateral | $460.20 | 10 | 6 |
| M023 | External or transantral ethmoidectomy - unilateral (to include Caldwell-Luc with transantral approach) | $360.45 | 10 | 6 |
| M061 | Sphenoid - Transseptal sphenoidectomy for tumour or radical exenteration of disease | $355.65 | 10 | – |
| M064 | External transethmoidal sphenoid sinusectomy | $612.65 | 10 | 7 |
| M067 | Closure of antral fistula - under general anaesthetic (to include Caldwell-Luc if necessary) | $345.15 | 7 | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z314 | Cauterization - unilateral | $11.50 | 6 | – |
| Z315 | Anterior packing - unilateral | $15.35 | 6 | – |
| Z316 | Posterior packing - unilateral or bilateral | $35.50 | 6 | – |
| E839 - Nasal polyp single with flexible endoscope, to Z304 . . . Add | $19.20 | – | – | |
| M027 | Ligation of external carotid artery - unilateral | $297.25 | 6 | 6 |
| R788 | Ligation of internal maxillary artery - unilateral | $408.10 | 10 | 7 |
| R789 | Ligation of anterior ethmoidal artery - unilateral | $299.85 | 7 | 6 |
| Z313 | Endoscopic transnasal ligation of the sphenopalatine artery for posterior epistaxis - unilateral | $123.70 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| M012 | Septoplasty | $293.95 | 10 | – |
| M013 | Partial septorhinoplasty (excluding osteotomies) | $526.00 | 10 | – |
| M014 | Septorhinoplasty | $541.65 | 10 | 6 |
| E841 - with autologous bone or cartilage graft from site(s) other than nose, to a maximum of two, to M014 . . . Add | $226.80 | – | – | |
| E842 - with nonautologous graft or implant, to M014 . . . Add | $58.60 | – | – | |
| E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap, to M012, M013 or M014 . . . Add | $119.20 | – | – | |
| E840 - with repair of septal perforation, to M012, M013 or M014 . . . Add | $119.20 | – | – | |
| R319 | Graft to nose - autologous, bone or cartilage (without septorhinoplasty) | $360.45 | 7 | 6 |
| R320 | nonautologous or prosthetic implant (without septorhinoplasty) | $232.00 | 7 | 6 |
| M015 | Septodermoplasty (to include fascial and other grafts) | $306.85 | 7 | – |
| M016 | Repair of septal perforation | $358.70 | 7 | – |
| E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap, to M012, M013 or M014 . . . Add | $119.20 | – | – | |
| M017 | Packing for localization of cerebrospinal rhinorrhea | $39.60 | 6 | – |
| E603 - with fluorescein injection, to M017. . . add | $50.90 | – | – | |
| M033 | Closure or opening of nostril for atrophic rhinitis | $254.15 | 7 | – |
| M018 | Endonasal augmentation for atrophic rhinitis - unilateral (including obtaining graft or preparing implant) | $308.65 | 7 | – |
| M020 | Repair of choanal atresia - unilateral or bilateral | $360.45 | 6 | 6 |
| M021 | Puncture and insertion of tube for choanal atresia - unilateral or bilateral | $123.70 | 6 | – |
| M028 | Dilation of choanal atresia - unilateral or bilateral | $73.80 | 6 | – |
| M030 | Rhinoplasty for reconstruction of cleft lip - nasal deformity - complex, to include necessary grafts and septoplasty | $1,082.30 | 7 | 6 |
| M032 | Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum to include total take down of cleft lip | $432.45 | 6 | – |
| M031 | Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum reconstruction to include minor lip repair (Minor revision, Z-plasty) | $254.15 | 7 | – |
| E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap, to M012, M013 or M014 . . . Add | $119.20 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z304 | Nasal polyp - single | $21.00 | – | – |
| E839 - with flexible endoscope, to Z304 . . . Add | $19.20 | – | – | |
| Z305 | Nasal polyp - multiple or involving general anaesthetic unilateral | $55.60 | 7 | – |
| Z308 | Choanal polypectomy - unilateral | $55.60 | 7 | – |
| Z309 | Biopsy - single | $18.30 | – | – |
| E839 - Nasal polyp single with flexible endoscope, to Z304 . . . Add | $19.20 | – | – | |
| Z310 | Biopsy - multiple or involving general anaesthetic | $50.90 | 6 | – |
| Z311 | Removal of foreign body - local anaesthetic | $10.55 | – | – |
| E839 - Nasal polyp single with flexible endoscope, to Z304 . . . Add | $19.20 | – | – | |
| Z312 | Removal of foreign body - general anaesthetic | $50.90 | 6 | – |
| M010 | Removal of foreign body - Excision of intranasal lesions by lateral rhinotomy approach | $493.90 | 7 | 6 |
| M011 | Removal of foreign body - Excision of other intranasal lesions | $0.00 | – | – |
| M081 | Laryngectomy - total | $838.90 | 13 | 6 |
| E882 - with thyroid lobectomy, to M081 . . . Add | $177.40 | – | – | |
| E883 - with thyroid lobectomy, must include excision of isthmus and pyramidal tract, to M081 . . . Add | $266.60 | – | – | |
| E884 - with total thyroidectomy, to M081 . . . Add | $374.00 | – | – | |
| M082 | Laryngectomy - Laryngofissure | $444.80 | 8 | 6 |
| M084 | Laryngectomy - segmental, including reconstruction | $888.85 | 9 | 6 |
| M085 | Laryngectomy - Arytenoidectomy or arytenoidopexy or lateralization procedure | $395.05 | 8 | 6 |
| M099 | Segmental resection of cervical trachea | $918.60 | 10 | 9 |
| E631 - with resection of cricoid . . . Add | $314.20 | – | – | |
| M103 | Segmental resection of trachea with either sternotomy or thoracotomy | $1,294.20 | 13 | 9 |
| M104 | Carinal resection (without pulmonary resection) | $825.40 | 15 | 11 |
| M105 | Chest wall tumour, resection of 2 or 3 ribs or cartilages | $650.00 | 13 | 9 |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material to M105 . . . Add | $75.00 | – | – | |
| E640 - Chest wall reconstruction after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material . . . Add | $179.55 | – | – | |
| E601 - Chest wall reconstruction for each additional rib (more than 3) to a maximum of 3 additional . . . Add | $57.50 | – | – | |
| E602 - Chest wall reconstruction with sternal resection . . . Add | $177.95 | – | – | |
| M107 | Chest wall reconstruction - Total sternectomy | $812.25 | 13 | 9 |
| N284 | Chest wall reconstruction - Excision of first rib and/or cervical rib to include scalenotomy when required | $408.00 | 6 | 6 |
| M106 | Chest wall reconstruction - Mediastinal tumour | $1,004.00 | 13 | 9 |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material to M105 . . . Add | $75.00 | – | – | |
| M108 | Chest wall reconstruction - Ligation of thoracic duct as sole procedure | $410.45 | 6 | 6 |
| Z338 | Biopsy of pleura or lung - with limited thoracotomy | $202.80 | 13 | 9 |
| M138 | Hilar lymph node or lung biopsy with full thoracotomy | $534.10 | 13 | 9 |
| M142 | Pneumonectomy, may include radical mediastinal node dissection, sampling or pericardial resection requiring repair | $1,400.00 | 14 | 10 |
| E609 - Closure of bronchopleural fistula (transthoracic or transsternal) with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad, to M130 . . . add | $121.70 | – | – | |
| M143 | Lobectomy, may include radical mediastinal node dissection or sampling | $1,285.00 | 13 | 10 |
| E644 - radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy, to M142, M143, S089 or S090 . . . Add | $207.45 | – | – | |
| M144 | Segmental resection, including segmental bronchus and artery | $1,285.00 | 13 | 10 |
| M145 | Wedge resection of lung | $818.45 | 13 | 10 |
| M151 | Bullectomy for major bullous disease | $725.00 | 13 | 10 |
| M149 | Pleurectomy, and/or apical bullectomy for pneumothorax | $525.00 | 13 | 10 |
| E612 - total extrapleural pneumonectomy . . . Add | $338.35 | – | – | |
| E613 - sleeve pneumonectomy . . . Add | $248.40 | – | – | |
| E614 - omental graft . . . Add | $162.45 | – | – | |
| E615 - intrapericardial dissection . . . Add | $120.80 | – | – | |
| E611 - with resection of diaphragm and direct suture closure . . . add | $145.00 | – | – | |
| E849 - with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material . . . Add | $220.00 | – | – | |
| E848 - with reconstruction of pericardium requiring repair with synthetic graft material . . . Add | $80.00 | – | – | |
| E616 - bilobectomy on right side . . . Add | $142.10 | – | – | |
| E617 - with pleural tent . . . add | $78.80 | – | – | |
| E618 - with decortication of remaining lobe(s) . . . Add | $121.85 | – | – | |
| E619 - sleeve lobectomy . . . add | $162.45 | – | – | |
| E620 - with wedge bronchoplasty . . . add | $78.80 | – | – | |
| E621 - with diagnostic wedge resection . . . add | $45.85 | – | – | |
| E624 - with completion pneumonectomy for positive resection margin . . . Add | $111.20 | – | – | |
| E625 - with sleeve resection of pulmonary artery . . . Add | $142.20 | – | – | |
| E608 - each additional wedge resection of lung (to a maximum of 3) . . . add | $75.00 | – | – | |
| E607 - reoperation more than 30 days subsequent to previous excision, to appropriate excision fee . . . Add | $152.30 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z301 | Drainage of abscess or haematoma | $55.60 | 6 | – |
| Z741 | Tracheotomy | $273.15 | 6 | 6 |
| E639 - with anterior cricoid split . . . Add | $78.50 | – | – | |
| Z738 | Insertion of Montgomery “T” Tube or similar laryngeal or tracheal stent | $216.10 | 8 | 6 |
| Z325 | Emergency tracheotomy | $474.65 | 10 | 10 |
| E623 - Excision repeat operation after 30 days . . . Add | $415.15 | – | – | |
| Z353 | Incisional biopsy of chest wall tumour | $110.90 | 7 | 6 |
| Z354 | Excisional biopsy of rib for tumour | $142.20 | 7 | 6 |
| Z357 | Thoracic window creation | $228.25 | 7 | 6 |
| Z358 | Thoracic window closure | $111.20 | 6 | 6 |
| Z340 | Biopsy of lung, needle | $137.85 | 7 | – |
| Z336 | Biopsy of pleura, needle including diagnostic aspiration | $59.15 | 6 | – |
| Z341 | Closed drainage effusion or pneumothorax | $69.80 | 6 | – |
| Z337 | Rib resection for drainage | $133.10 | 7 | 6 |
| M133 | Thoracotomy for removal of foreign body | $390.65 | 13 | 9 |
| M137 | Thoracotomy with or without biopsy | $390.65 | 13 | 9 |
| M134 | Thoracotomy for post-operative haemorrhage or empyema | $390.65 | 13 | 9 |
| M132 | Thoracotomy with repair of ruptured diaphragm | $507.45 | 13 | 9 |
| M130 | Closure of broncho-pleural fistula (transthoracic or trans-sternal) | $584.75 | 13 | 9 |
| E609 - with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad, to M130 . . . add | $121.70 | – | – | |
| E610 - Closure of bronchopleural fistula (transthoracic or transsternal) with myovascular flap (pectoralis major, latissimus dorsi, rectus abdominus) . . . add | $263.80 | – | – | |
| M135 | Major decortication of lung for empyema or tumour | $800.00 | 15 | 11 |
| Z339 | Intercostal drainage with insufflation of sclerosing agent under general anaesthesia | $182.90 | 6 | 6 |
| Z361 | Chronic indwelling pleural catheter for palliative management of malignant pleural effusion - Insertion of indwelling catheter | $200.00 | – | – |
| Z362 | Chronic indwelling pleural catheter for palliative management of malignant pleural effusion - Removal of indwelling catheter | $200.00 | – | – |
| Code | Description | Amount | Ans Units |
|---|---|---|---|
| Z331 | Aspiration for diagnostic sample | $32.45 | – |
| Z332 | Aspiration with therapeutic drainage with or without diagnostic sample | $59.15 | 6 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | – | |
| Z349 | Intrapleural administration of chemotherapy or sclerosing agent - by any method | $23.25 | – |
| Z334 | Total unilateral lung lavage with or without bronchoscopy using Double Lumen Tube and single lung anaesthesia | $304.60 | 13 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z298 | Nasopharynx (including oropharynx, oral cavity and hypopharynx) EUGA of nasopharynx for malignant disease including biopsies (not eligible for payment if rendered in conjunction with tonsillectomy and adenoidectomy or quadroscopy) | $41.25 | 6 | – |
| R181 | Excision of nasopharyngeal or oropharyngeal lesion - With palatal split | $508.20 | 7 | 6 |
| R182 | Excision of nasopharyngeal or oropharyngeal lesion - With mandibulotomy, glossotomy and/or palatal split | $1,216.80 | 10 | 7 |
| Z297 | Excision of nasopharyngeal or oropharyngeal lesion - Insertion of prosthesis for nasal septal perforation | $18.30 | – | – |
| M155 | Lung transplant (one lung) | $2,054.25 | 40 | 18 |
| M156 | Repeat lung transplant (one lung) | $2,670.55 | 40 | 24 |
| M157 | Donor Heart Lung removal | $906.45 | 8 | 8 |