These are the most commonly used Digestive system surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .
| Code | Description | Amount | Ans Units |
|---|---|---|---|
| Z497 | Confirmatory colonoscopy sigmoid to descending colon | $51.95 | 5 |
| Z499 | Absence of signs or symptoms, family history associated with an increased risk of malignancy (e.g. a first degree relative or at least two second degree relatives with colorectal cancer or a premalignant lesion) – sigmoid to descending colon | $51.95 | 5 |
| Z492 | Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending | $51.95 | 5 |
| Z493 | Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending | $51.95 | 5 |
| Z496 | Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon | $51.95 | 5 |
| Z494 | Hereditary (e.g. Familial adenomatous Polyposis or Hereditary NonPolyposis Colorectal Cancer) or other bowel disorders (e.g. inflammatory bowel disease) associated with increased risk of malignancy | $51.95 | 5 |
| Z498 | Follow up of abnormal colonoscopy sigmoid to descending colon | $51.95 | 5 |
| Z495 | Follow up of unsatisfactory colonoscopy | $51.95 | 5 |
| Z491 | Follow up of incomplete polyp resection | $51.95 | 5 |
| Z555 | Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon | $51.95 | 5 |
| E797 - Oesophagoscopygastroscopy, with or without duodenoscopy management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) . . . add | $46.30 | – | |
| E747 - Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy tocecum . . . Add | $31.15 | – | |
| E740 - to splenic flexure, to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 . . . Add | $31.15 | – | |
| E741 - to hepatic flexure, to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 . . . Add | $31.40 | – | |
| E705 - into terminal ileum, to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 . . . Add | $30.30 | – | |
| E630 - endoscopic placement of stent in colon, to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 . . . Add | $137.05 | – | |
| E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more), to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 or Z580 . . . Add | $27.05 | – | |
| E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis, to Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499 or Z555 . . . Add | $54.25 | – | |
| E749 - when Z491, Z492, Z493, Z494, Z495, Z496, Z497, Z498, Z499, Z512, Z555 or Z580 rendered in private office . . . add | $22.35 | – |
| Code | Description | Amount |
|---|---|---|
| Z590 | Aspiration - for diagnostic sample | $31.30 |
| Z591 | Aspiration - with therapeutic drainage with or without diagnostic sample | $57.65 |
| E724 - Aspiration administration of chemotherapy or sclerosing agent . . . add | $23.25 | |
| Z763 | Aspiration - Paracentesis with lavage for diagnosis | $38.70 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S201 | Small bowel transplant - donor | $964.50 | 8 | 6 |
| S202 | Small bowel transplant - recipient | $2,748.75 | 30 | 20 |
| S196 | Multivisceral transplant - donor | $2,748.75 | 8 | 6 |
| S197 | Multivisceral transplant - recipient, without evisceration | $7,934.35 | 35 | 25 |
| E807 - recipient, with evisceration, to S197 . . . add | $2,644.75 | – | – | |
| S302 | Donor pancreas removal | $679.50 | 8 | 6 |
| S303 | Backbench pancreas graft preparation | $339.75 | – | – |
| S308 | Pancreas transplant | $2,378.30 | 30 | 20 |
| Code | Description | Amount | Ans Units |
|---|---|---|---|
| Z538 | Reduction of prolapse | $25.25 | 6 |
| Z539 | Dilation of gastrostomy, enterostomy, colostomy, etc. | $25.25 | 6 |
| Z540 | Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy | $79.80 | – |
| E732 - with biopsy . . . Add | $29.10 | – | |
| Z541 | Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure) | $58.15 | 6 |
| Z756 | Fecal disimpaction no anaesthetic | $36.80 | – |
| Z550 | Dilation of anal sphincter | $12.05 | 6 |
| S248 | Peter Lord procedure | $43.60 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z506 | Drainage of oral abscess or haematoma | $50.90 | 6 | – |
| Z510 | Drainage of pharyngeal abscess or haematoma | $91.10 | 6 | – |
| Z524 | Drainage of haematoma or deep neck abscess (external approach) | $271.05 | 7 | 6 |
| Z501 | Biopsy | $35.50 | – | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| Z537 | Biopsy - requiring general anaesthetic | $97.05 | – | – |
| Z111 | Tongue tie, release of - simple | $15.35 | – | – |
| Z112 | Tongue tie, release of - complex or requiring general anaesthetic | $50.90 | 6 | – |
| S031 | Palatal fenestration | $197.55 | 6 | – |
| Z500 | Sialolithotomy | $30.65 | – | – |
| Z521 | Sialolithotomy - requiring general anaesthesia | $103.60 | 6 | 6 |
| Z503 | Biopsy | $35.40 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| S084 | Oesophagostomy - Cervical - other than neonatal | $212.35 | – | – |
| S085 | Oesophagostomy - Cervical - neonatal | $304.20 | – | – |
| S082 | Oesophagostomy - Intrathoracic oesophageal stent - via laparotomy | $410.55 | 7 | – |
| S083 | Oesophagostomy - Intrathoracic oesophageal stent - via oesophagoscope (includes Z515) | $304.20 | 6 | – |
| S081 | Oesophagostomy - Transoesophageal division of oesophageal varices | $558.05 | – | – |
| S080 | Oesophagostomy - Oesophagealgastric devascularization (including splenectomy and oesophageal division/anastomosis) | $898.15 | – | – |
| S116 | Gastrotomy - with removal of tumour or foreign body | $406.85 | 7 | 6 |
| E731 - with suture of bleeding peptic ulcer . . . Add | $247.05 | – | – | |
| S117 | Gastrotomy - Pyloromyotomy (Ramstedt's) | $536.90 | 10 | 6 |
| S118 | Gastrostomy | $467.85 | 7 | 6 |
| E697 - with repair of MalloryWeiss laceration . . . add | $142.40 | – | – | |
| E707 - when done with another intraabdominal procedure | $70.80 | – | – | |
| Z532 | Percutaneous endoscopic gastrostomy | $172.95 | 7 | 6 |
| Z520 | Change of gastrostomy tube | $10.65 | – | – |
| S149 | Enterotomy - Ileostomy | $470.65 | 7 | 6 |
| S150 | Enterotomy - Small intestine including excision of polyps or biopsy | $406.85 | 7 | 6 |
| S151 | Enterotomy - Insertion of feeding enterostomy | $356.50 | 7 | 6 |
| E737 - when done with another intraabdominal procedure . . . Add | $82.35 | – | – | |
| S154 | Enterotomy - Large intestine including excision of polyps | $406.85 | 7 | 6 |
| S155 | Enterotomy - Colonoscopy with laparotomy | $387.40 | 7 | 6 |
| S156 | Enterotomy - Exteriorization of intestine (Mickulicz) | $406.85 | 6 | 6 |
| S157 | Enterotomy - Colostomy | $470.65 | 7 | 6 |
| S158 | Enterotomy - Cecostomy | $387.40 | 7 | 6 |
| S160 | Enterotomy - Enteroenterostomy | $470.65 | 7 | 6 |
| E793 - Enterotomy laparoscopic or laparoscopic assisted, to S149 or S157 | $0.00 | – | – | |
| E714 - repair of enterocutaneous fistula in conjunction with bowel resection . . . Add | $82.35 | – | – | |
| Z544 | Biopsy | $34.90 | 6 | – |
| Z545 | Thrombosed haemorrhoid(s) | $25.25 | 6 | – |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| S241 | Sphincterotomy(ies) under local anaesthesia | $88.20 | – | 6 |
| S243 | Sphincterotomy(ies) under general anaesthesia | $200.00 | 6 | 6 |
| Z554 | Biopsy - incisional | $102.10 | – | – |
| Z551 | Biopsy - needle | $87.80 | 7 | – |
| S268 | Insertion of implantable pump for continuous liver perfusion | $604.95 | 7 | 7 |
| S233 | Percutaneous trans-hepatic catheter drainage of obstructed bile ducts including daily supervision and including percutaneous cholangiogram and catheterization to duodenum if achieved | $394.25 | – | – |
| S234 | Replacement of catheter in S233 | $64.85 | – | – |
| Z562 | Biliary duct calculus manipulation and/or removal via T-tube tract - as sole procedure | $116.20 | 7 | – |
| Z542 | Biliary duct calculus manipulation and/or removal via T-tube tract - Intubation of bile duct for obstruction | $85.25 | – | – |
| S278 | Cholecystostomy | $408.05 | 7 | 7 |
| S276 | Choledochotomy (previous cholecystectomy) | $610.20 | 8 | 7 |
| S280 | Transduodenal sphincterotomy and choledochotomy (previous cholecystectomy) | $844.65 | 9 | 7 |
| S281 | Choledochoduodenostomy or choledochoenterostomy or choledochocholechostomy | $721.70 | 9 | 7 |
| E704 - with choledochoscopy, to S276, S280, S281 or S287 plus E721 . . . Add | $46.50 | – | – | |
| S282 | Cholecystogastrostomy | $447.45 | 7 | 7 |
| S283 | Cholecystoenterostomy | $447.45 | 7 | 7 |
| E743 - with enteroenterostomy, to S281 or S283 . . . Add | $153.05 | – | – | |
| S285 | Intrahepatic choledochoenterostomy (anastomosis above the common hepatic duct bifurcation) | $915.30 | 12 | 9 |
| Z762 | Biopsy - needle | $102.10 | – | – |
| Z577 | Biopsy - incisional | $122.05 | 7 | – |
| S297 | Drainage of acute pancreatitis or abscess or marsupialization of cyst | $406.85 | 7 | 7 |
| Z563 | Needle biopsy of peritoneum | $48.00 | – | – |
| Z564 | Open lavage of peritoneal cavity for diagnosis without manual exploration of peritoneal cavity | $73.60 | 7 | – |
| S312 | Laparotomy, with or without biopsy or for Hirschsprung’s disease (except biopsies of stomach, liver, pancreas and multiple paraaortic lymph nodes | $485.25 | 7 | 6 |
| E745 - insertion of tubes and postoperative continuous peritoneal lavage when combined with any other abdominal procedure . . . Add | $94.85 | – | – | |
| S321 | Laparotomy - for acute trauma | $587.10 | 6 | 6 |
| E733 - with repair of intestine single . . . Add | $142.40 | – | – | |
| E734 - multiple and/or with resection . . . Add | $211.15 | – | – | |
| E735 - with splenectomy (partial or complete) . . . Add | $284.75 | – | 4 | |
| E736 - with repair of lacerated liver . . . Add | $187.90 | – | 4 | |
| E739 - with repair of diaphragm . . . Add | $122.05 | – | 4 | |
| E723 - with repair of lacerated spleen . . . Add | $284.80 | – | 4 | |
| E693 - with repair of ruptured bladder . . . Add | $0.00 | – | 4 | |
| E694 - with nephrectomy . . . Add | $0.00 | – | 4 | |
| S313 | Peritoneal abscess - subphrenic | $370.95 | 7 | 7 |
| S314 | Peritoneal abscess - abdominal | $264.45 | 7 | 6 |
| Z569 | Peritoneal abscess - Pelvic abscess, incision and drainage rectal or vaginal approach | $122.05 | 7 | – |
| Z594 | Peritoneal abscess - Percutaneous abdominal abscess drainage including daily supervision, for one or more abscesses within the same abdominal quadrant or the pelvis | $288.30 | – | – |
| E686 - Peritoneal abscess within each other abdominal quadrant, or the pelvis (if the initial abscess was not in the pelvis) . . . add | $144.10 | – | – | |
| Z595 | Peritoneal abscess - Replacement of drainage catheter in abdominal abscess | $54.05 | – | – |
| Z574 | Peritoneal abscess - Removal of infected sutures from abdominal wall or re-exploration of wound for bleeding - general anaesthetic | $94.85 | 7 | 6 |
| S311 | Peritoneal abscess - Umbilical vein intraabdominal dissection and catheterization | $232.50 | 6 | 6 |
| S320 | Peritoneal abscess - Insertion of antabuse into abdominal wall | $58.15 | – | – |
| S203 | Insertion of peritoneo-jugular shunt for ascites - primary | $281.85 | 7 | 7 |
| S209 | Insertion of peritoneo-jugular shunt for ascites - revision | $208.15 | 7 | 7 |
| S310 | Insertion of peritoneo-jugular shunt for ascites - Insertion of intraperitoneal chemotherapy port by laparotomy or laparoscopy | $215.10 | 6 | 6 |
| S315 | Insertion of peritoneo-jugular shunt for ascites - Removal of intraperitoneal chemotherapy port by laparotomy or laparoscopy | $215.10 | 6 | 6 |
| Code | Description | Amount | Ans Units |
|---|---|---|---|
| Z580 | Sigmoidoscopy (using 60 cm. flexible endoscope) | $57.70 | 5 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S122 | Wedge resection for ulcer | $520.00 | 7 | 7 |
| E708 - with vagotomy . . . Add | $122.05 | – | – | |
| E713 - after previous partial gastrectomy . . . Add | $137.55 | – | – | |
| S123 | Partial or subtotal - distal | $840.00 | 8 | 7 |
| S125 | Partial or subtotal - proximal | $900.00 | 8 | 7 |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material, to S089 or S090 . . . Add | $75.00 | – | – | |
| E644 - radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy, to M142, M143, S089 or S090 . . . Add | $207.45 | – | – | |
| E731 - Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer . . . Add | $247.05 | – | – | |
| E708 - Wedge resection for ulcer with vagotomy . . . Add | $122.05 | – | – | |
| E713 - Wedge resection for ulcer after previous partial gastrectomy . . . Add | $137.55 | – | – | |
| E709 - Partial or subtotal with cholecystectomy . . . Add | $122.05 | – | – | |
| E711 - Partial or subtotal after previous gastroenterostomy . . . Add | $106.55 | – | – | |
| E706 - Partial or subtotal with choledochotomy . . . Add | $122.05 | – | – | |
| E712 - Partial or subtotal after previous vagotomy and pyloroplasty . . . Add | $111.10 | – | – | |
| S128 | Total gastrectomy - with or without splenectomy | $1,235.00 | 9 | 7 |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material, to S089 or S090 . . . Add | $75.00 | – | – | |
| E713 - Wedge resection for ulcer after previous partial gastrectomy . . . Add | $137.55 | – | – | |
| E709 - Partial or subtotal with cholecystectomy . . . Add | $122.05 | – | – | |
| E706 - Partial or subtotal with choledochotomy . . . Add | $122.05 | – | – | |
| S129 | Total gastrectomy - with or without splenectomy - laparoscopic or laparoscopic assisted, to S128 . . . Add | $910.00 | 9 | 7 |
| Code | Description | Amount |
|---|---|---|
| Z529 | Passive (bougie) - initial session | $40.55 |
| Z530 | Passive (bougie) - repeat session (within three months following previous dilation) | $27.35 |
| Z525 | Pneumatic - as sole procedure | $110.85 |
| Z523 | Pneumatic - with rigid dilators guided over a string or wire | $52.90 |
| Z531 | Pneumatic - Repeat dilations during the same admission | $26.40 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S103 | Closure of H-type tracheooesophageal fistula by cervical or thoracic approach | $923.05 | – | – |
| S104 | Repair of oesophageal atresia with or without tracheal fistula | $2,203.20 | – | – |
| S138 | Closure of gastrostomy or other external fistula of stomach | $345.85 | 7 | 6 |
| S139 | Gastrorrhaphy (for perforated gastric or duodenal ulcer or wound) | $672.75 | 7 | 6 |
| S140 | Closure of gastrocolic fistula | $574.40 | 7 | 7 |
| S184 | Suture of intestine | $314.80 | 7 | 6 |
| E721 - Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy with choledochotomy . . . Add | $122.05 | – | – | |
| S185 | Closure of colostomy or enterostomy with or without resection and/or anastomosis | $504.70 | 7 | 6 |
| S187 | Plication of small intestine for adhesions | $528.85 | 7 | 6 |
| S229 | Suture of rectum, traumaexternal approach | $355.45 | 7 | 6 |
| S231 | Closure of fistula - rectovaginal (any repair) | $338.55 | 7 | 6 |
| S525 | Closure of fistula - rectovesical | $446.90 | 7 | 6 |
| S343 | Secondary closure for evisceration sole operative procedure in abdomen | $350.00 | 7 | 6 |
| E752 - with repeat surgery on kidney at least 30 days after previous kidney surgery . . . Add | $83.25 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S161 | Oesophageal myotomy, partial (below aortic arch) | $584.15 | – | – |
| E758 - with oesophageal hiatus hernia repair . . . Add | $217.35 | – | – | |
| S100 | Total thoracic oesophageal myotomy (as sole procedure) | $738.90 | – | – |
| E758 - Oesophageal myotomy, partial (below aortic arch) with oesophageal hiatus hernia repair . . . Add | $217.35 | – | – | |
| S091 | Oesophageal hiatus hernia - abdominal or transthoracic approach with fundal plication | $750.00 | – | – |
| S092 | Oesophageal hiatus hernia - recurrent | $709.85 | – | – |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material, to S089 or S090 . . . Add | $75.00 | – | – | |
| E744 - Oesophageal hiatus hernia with gastroplasty, to either S091 or S092 . . . Add | $115.80 | – | – | |
| E742 - Oesophageal hiatus hernia when S091 or S092, with or without gastroplasty, is done in conjunction with cholecystectomy, and/or vagotomy with or without drainage procedures, add E742 to S091 or S092 (with or without E744) for each additional procedure | $217.35 | – | – | |
| S095 | Oesophageal stricture (Thal) may include oesophageal hiatus hernia repair with or without gastroplasty | $676.05 | – | – |
| S096 | Ruptured oesophagus, suture and drainage | $661.65 | – | – |
| S097 | Oesophagogastrostomy for bypass (as sole procedure) | $608.30 | – | – |
| S098 | Oesophageal bypass, abdomen to neck - with stomach | $912.60 | – | – |
| S099 | Oesophageal bypass, abdomen to neck - with colon or jejunum | $1,264.05 | – | – |
| S132 | Pyloroplasty | $406.85 | 7 | 7 |
| S133 | Pyloroplasty and vagotomy | $528.85 | 7 | 7 |
| E731 - Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer . . . Add | $247.05 | – | – | |
| S137 | Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy | $678.90 | 8 | 7 |
| E731 - Gastrotomy with removal of tumour or foreign body with suture of bleeding peptic ulcer . . . Add | $247.05 | – | – | |
| E721 - with choledochotomy . . . Add | $122.05 | – | – | |
| S134 | Gastroduodenostomy or gastrojejunostomy | $406.85 | – | – |
| E711 - Partial or subtotal after previous gastroenterostomy . . . Add | $106.55 | – | – | |
| E721 - Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy with choledochotomy . . . Add | $122.05 | – | – | |
| E716 - either of above plus vagotomy . . . Add | $147.30 | – | – | |
| S181 | Revision of ileostomy or colostomy - skin level | $131.75 | 7 | 6 |
| S182 | Revision of ileostomy or colostomy - full thickness | $467.90 | 7 | 6 |
| S192 | Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch | $387.40 | 7 | 6 |
| S191 | Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair | $951.20 | 7 | 6 |
| S193 | Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch | $793.50 | 7 | 6 |
| S183 | Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure) | $314.80 | 6 | 6 |
| S223 | Anastomosis of rectum | $488.20 | 6 | 6 |
| S225 | Rectal prolapse - excision of mucous membrane | $239.20 | 7 | 6 |
| S226 | Rectal prolapse - perineal repair major | $356.50 | 6 | 6 |
| S227 | Rectal prolapse - abdominal approach | $688.75 | 8 | 6 |
| S228 | Rectal prolapse - insertion of Thiersh wire | $190.85 | 6 | 6 |
| S253 | Low imperforate anus repair | $1,224.00 | 7 | 7 |
| S260 | High imperforate anus repair (supralevator) | $1,801.00 | 7 | 7 |
| S256 | Excision of scar, for stenosis | $142.40 | 6 | 6 |
| S257 | Anoplasty, for stenosis | $275.05 | 6 | 6 |
| S258 | Repair of anal sphincter | $275.05 | 7 | 6 |
| S259 | Repair of anal sphincter and ano-rectal ring | $356.50 | 6 | 6 |
| S273 | Marsupialization and/or decompression of cyst(s) or abscess(es) | $434.80 | 7 | 7 |
| E715 - more than three cysts or abscess(es) . . . Add | $74.90 | – | – | |
| S292 | Common duct stricture, dissection and/or resection* | $203.40 | 10 | 7 |
| S293 | Common duct stricture, dissection and/or resection* | $0.00 | 12 | 8 |
| Z596 | Extracorporeal shock wave lithotripsy for bile duct calculi | $314.20 | 6 | – |
| S305 | Pancreatic cyst - gastrostomy | $589.95 | 8 | 7 |
| S306 | Pancreatic cyst - duodenostomy | $589.95 | 8 | 8 |
| S307 | Pancreatic cyst - jejunostomy | $589.95 | 8 | 8 |
| S304 | Pancreatic cyst - Lateral pancreatoduodenostomy or anastomosis of filleted pancreatic duct to intestine (Puestow) | $813.60 | 10 | 9 |
| S325 | Omentopexy - as sole operative procedure | $305.05 | 7 | 6 |
| S322 | Herniotomy - Inguinal and/or femoral - infants | $487.50 | 7 | 6 |
| S326 | Herniotomy - Inguinal and/or femoral - children | $412.50 | 6 | 6 |
| S323 | Herniotomy - Inguinal and/or femoral - adolescents and adults | $357.80 | 7 | 6 |
| S328 | Herniotomy - Unilateral with exploration of other side - infants and children | $458.40 | 7 | 6 |
| S329 | Herniotomy - Strangulated or incarcerated - without resection of bowel | $425.00 | 7 | 6 |
| S330 | Herniotomy - Strangulated or incarcerated - with resection of bowel | $660.50 | 7 | 6 |
| S332 | Herniotomy - Umbilical - adolescent or adult | $300.00 | 6 | 6 |
| S333 | Herniotomy - Umbilical - child (operative) | $222.75 | 6 | 6 |
| E764 - Herniotomy umbilical hernia repair when done in conjunction with other abdominalsurgery, to other surgery . . . Add | $24.20 | – | – | |
| E756 - Herniotomy with resection of strangulated contents . . . Add | $24.50 | – | – | |
| E757 - Herniotomy without resection of strangulated contents . . . Add | $55.25 | – | – | |
| S348 | Omphalocele and gastroschisis - Primary or first stage repair | $1,112.35 | 7 | 7 |
| E691 - Omphalocele and gastroschisis requiring mobilization of abdominal wall musculature, to S348 . . . Add | $1,408.35 | – | – | |
| S349 | Omphalocele and gastroschisis - Second or subsequent stage repair | $475.80 | 7 | 7 |
| S346 | Congenital diaphragmatic hernia - Primary or first stage repair | $1,300.55 | 13 | 9 |
| S347 | Congenital diaphragmatic hernia - Second or subsequent stage repair | $472.15 | 13 | 9 |
| S340 | Congenital diaphragmatic hernia - Ventral post-operative | $370.95 | 7 | 6 |
| S344 | Congenital diaphragmatic hernia - Massive incisional hernia | $500.00 | 7 | 6 |
| S345 | Congenital diaphragmatic hernia - Massive sliding inguinal hernia | $431.35 | 7 | 6 |
| E725 - recurrent all types, except oesophageal . . . Add | $130.00 | – | 4 | |
| E726 - repeat recurrent inguinal hernia (more than 2 repairs), to S322, S323, S326, S329 or S330 . . . Add | $226.00 | – | 4 | |
| S342 | Congenital diaphragmatic hernia - Epigastric | $239.20 | 6 | 6 |
| E727 - hydrocele extra applicable to adults only . . . Add | $65.90 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z515 | Oesophagoscopy, with or without biopsy(ies) | $68.25 | 4 | – |
| Z399 | Oesophagoscopygastroscopy, with or without duodenoscopy - elective | $92.50 | 4 | – |
| Z400 | Oesophagoscopygastroscopy, with or without duodenoscopy - for active bleeding | $125.10 | 4 | – |
| E696 - Oesophagoscopygastroscopy, with or without duodenoscopy with dilatation of oesophagus . . . add | $30.65 | – | – | |
| E702 - Oesophagoscopygastroscopy, with or without duodenoscopy with multiple (3 or more) biopsies of specific lesion . . . add | $15.10 | – | – | |
| E690 - Oesophagoscopygastroscopy, with or without duodenoscopy with removal of foreign body(ies) . . . add | $43.85 | – | – | |
| E795 - Oesophagoscopygastroscopy, with or without duodenoscopy with brushing of oesophagus, stomach, and/or duodenum . . . add | $46.30 | – | – | |
| E770 - Oesophagoscopygastroscopy, with or without duodenoscopy with duodenoscopy and drainage of bile after I.V. CCK stimulation . . . add | $23.10 | – | – | |
| E692 - Oesophagoscopygastroscopy, with or without duodenoscopy with laser debulking . . . add | $69.70 | – | – | |
| E698 - Oesophagoscopygastroscopy, with or without duodenoscopy with pneumatic or balloon dilation . . . add | $69.70 | – | – | |
| E703 - Oesophagoscopygastroscopy, with or without duodenoscopy with snare polypectomy first polyp (> 1 cm) . . . Add | $50.50 | – | – | |
| E799 - Oesophagoscopygastroscopy, with or without duodenoscopy each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) . . . add | $25.25 | – | – | |
| E695 - Oesophagoscopygastroscopy, with or without duodenoscopy laser palliation of oesophageal tumour, extensive, complete obstruction . . . add | $0.00 | – | – | |
| E797 - Oesophagoscopygastroscopy, with or without duodenoscopy management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) . . . add | $46.30 | – | – | |
| E798 - Oesophagoscopygastroscopy, with or without duodenoscopy management of complicated upper gastrointestinal bleeding by any technique in haemodynamically unstable patients with active bleeding during endoscopy . . . add | $69.70 | – | – | |
| E629 - Oesophagoscopygastroscopy, with or without duodenoscopy endoscopic placement of stent in duodenum . . . add | $137.05 | – | – | |
| Z527 | Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm | $82.90 | 4 | – |
| Z547 | Gastroscopy - with removal of foreign body | $99.75 | 4 | – |
| Z528 | Gastroscopy - subsequent (within three months following previous gastroscopy) | $67.85 | – | – |
| E674 - Gastroscopy with snare polypectomy 1st polyp > 1 cm (maximum 1) . . . add | $142.40 | – | – | |
| E675 - Gastroscopy with snare polypectomy each additional polyp > 1 cm (maximum 2) . . . add | $73.50 | – | – | |
| Z560 | Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months) | $92.10 | 4 | – |
| Z749 | Subsequent procedure (within three months following previous endoscopic procedure) | $72.55 | 4 | – |
| E629 - Oesophagoscopygastroscopy, with or without duodenoscopy endoscopic placement of stent in duodenum . . . add | $137.05 | – | – | |
| Z584 | Small bowel push enteroscopy | $185.15 | – | – |
| Z512 | Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy | $36.80 | 4 | – |
| E747 - tocecum . . . Add | $31.15 | – | – | |
| Z514 | Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy | $44.55 | 4 | – |
| Z535 | Sigmoidoscopy with or without anoscopy - with rigid scope | $36.80 | 4 | – |
| Z536 | Sigmoidoscopy with or without anoscopy - with biopsy(ies) | $44.55 | 4 | – |
| Z592 | Sigmoidoscopy with or without anoscopy - with decompression of volvulus | $49.40 | 4 | – |
| E797 - Oesophagoscopygastroscopy, with or without duodenoscopy management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) . . . add | $46.30 | – | – | |
| E746 - Sigmoidoscopy with or without anoscopy when Z535, Z536 or Z592 performed outside hospital . . . Add | $5.85 | – | – | |
| E641 - Sigmoidoscopy with or without anoscopy endoscopic placement of stent in rectum . . . Add | $137.05 | – | – | |
| Z543 | Anoscopy (proctoscopy) | $8.70 | – | – |
| Z561 | Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct | $213.15 | 6 | – |
| Z558 | Endoscopic retrograde cholangiopancreatography (ERCP) - including sphincterotomy and may include removal of one or more bile duct stones | $300.25 | 6 | – |
| Z760 | Endoscopic retrograde cholangiopancreatography (ERCP) - through gastrojejunostomy following previous Billroth II | $251.85 | 6 | – |
| E702 - Oesophagoscopygastroscopy, with or without duodenoscopy with multiple (3 or more) biopsies of specific lesion . . . add | $15.10 | – | – | |
| E666 - Endoscopic retrograde cholangiopancreatography (ERCP) with biliary tract manometry . . . add | $52.30 | – | – | |
| E662 - Endoscopic retrograde cholangiopancreatography (ERCP) with intraductal cytology brushing or intraductal biopsy . . . add | $49.75 | – | – | |
| E668 - Endoscopic retrograde cholangiopancreatography (ERCP) with cannulation of minor papilla . . . add | $93.80 | – | – | |
| E680 - Endoscopic retrograde cholangiopancreatography (ERCP) with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) . . . add | $82.35 | – | – | |
| E681 - Endoscopic retrograde cholangiopancreatography (ERCP) with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) . . . add | $43.60 | – | – | |
| E669 - Endoscopic retrograde cholangiopancreatography (ERCP) with oesophagoscopygastroscopy and may include duodenoscopy . . . add | $102.75 | – | – | |
| Z593 | Nasobiliary catheter insertion | $55.25 | – | – |
| Z552 | Peritoneoscopy, culdoscopy or laparoscopy - without biopsy | $131.45 | 6 | 6 |
| Z553 | Peritoneoscopy, culdoscopy or laparoscopy - with biopsy and/or lysis of adhesions and/or removal of foreign body and/or cautery of endometrial implants | $173.25 | 6 | 6 |
| E857 - if a D&C is required for abnormal uterine bleeding and rendered with tubal occlusion or with diagnostic laparoscopy, to other procedure . . . Add | $78.45 | – | – | |
| E855 - Laparoscopy with dye injection . . . Add | $25.85 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S049 | Plastic repair of duct | $202.25 | 7 | 6 |
| Z511 | Dilation and/or probing of duct | $43.15 | 6 | – |
| S057 | Submandibular duct relocation | $360.75 | 7 | 6 |
| S013 | Cleft lip - unilateral | $363.30 | 8 | 6 |
| E501 - with nasal cartilage realignment . . . Add | $304.30 | – | – | |
| S014 | Cleft lip - Reconstruction with lip switch flap | $444.40 | 8 | 6 |
| S015 | Cleft lip - Complex reconstruction or revision of previous repair and excision | $0.00 | – | – |
| E800 - Radial or linear probe through endoscope to endoscopy fee . . . Add | $101.50 | – | – | |
| E801 - Radial or linear probe through endoscope including biliary and/or pancreatic examination, to endoscopy fee . . . Add | $152.30 | – | – |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| Z502 | Lesion - less than 2 cms | $71.00 | 6 | 6 |
| S003 | Lesion - 2 to 4 cms, inclusive | $354.50 | 6 | 6 |
| S006 | Lesion - over 4 cms | $431.15 | 7 | 6 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| S004 | Ranula | $165.80 | 6 | 6 |
| S005 | Composite resection of lesion of oral cavity and/or oropharynx with partial resection of mandible | $1,030.70 | – | – |
| S007 | Extended composite resection of lesion of oral cavity and oropharynx with partial resection of mandible and resection of maxilla | $1,059.45 | 12 | 10 |
| S050 | Cryotherapy for treatment of premalignant or malignant lesions of oral cavity or sinuses | $148.60 | 6 | – |
| S018 | Glossectomy - partial | $197.45 | 8 | 6 |
| S020 | Glossoplasty | $197.45 | 6 | 6 |
| S023 | Extraction of tooth (complete care) - single | $24.90 | 6 | – |
| E700 - each additional tooth . . . Add | $13.40 | – | – | |
| S028 | Dentigerous cyst | $98.80 | 6 | 6 |
| S900 | Basic units for anaesthesia with any unlisted dental surgical procedure performed by dental or oral surgeon | $0.00 | 8 | – |
| S021 | Repair of extensive laceration | $0.00 | – | 6 |
| S034 | Cleft palate repair | $369.25 | 8 | 6 |
| S035 | Removal of sutures under general anaesthesia | $41.25 | 6 | – |
| S032 | Bone graft to palate | $335.65 | 8 | 6 |
| S042 | Submandibular gland or sublingual gland | $391.05 | 7 | 6 |
| S043 | Parotid gland - total (with preservation of facial nerve) | $885.75 | 10 | 6 |
| S044 | Parotid gland - total (without preservation of facial nerve) | $593.00 | 10 | 6 |
| S045 | Parotid gland - subtotal (with preservation of facial nerve) | $752.10 | 10 | 6 |
| S047 | Parotid gland - repeat subtotal (with preservation of facial nerve) | $774.50 | 10 | 6 |
| Z522 | Parotid gland - Excision small tumour | $51.25 | 7 | 6 |
| S011 | Wedge resection of lip - vermilion | $98.45 | 6 | 6 |
| S010 | Wedge resection of lip - with plastic repair | $275.00 | – | – |
| Z504 | Wedge resection of lip - Excision of lesion | $61.15 | 6 | 6 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| S012 | Wedge resection of lip - Lip shave vermilionectomy | $225.00 | 6 | 6 |
| S087 | Intrathoracic diverticulum | $507.00 | – | – |
| S086 | Cricopharyngeal myotomy, open approach | $300.00 | – | – |
| Z505 | Cricopharyngeal myotomy, when rendered by endoscopy, or in association with a urgical procedure during the same anaesthetic | $37.20 | 6 | 6 |
| S088 | Cricopharyngeal diverticulum | $390.05 | – | – |
| S089 | Partial oesophageal resection and reconstruction (including intestinal transposition) | $1,180.50 | 17 | – |
| S090 | Total thoracic oesophageal resection | $1,912.30 | 13 | – |
| E847 - Chest wall tumour with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material, to S089 or S090 . . . Add | $75.00 | – | – | |
| E644 - radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy, to M142, M143, S089 or S090 . . . Add | $207.45 | – | – | |
| E730 - with reconstruction . . . add | $740.95 | – | – | |
| Z526 | Biopsy - incisional - by gastrostomy | $73.60 | – | – |
| Z533 | Biopsy - incisional - by intubation | $36.80 | – | – |
| S162 | Local excision of lesion of intestine | $528.85 | 7 | 6 |
| Z750 | Resection of exteriorized intestine | $82.35 | 7 | 6 |
| S164 | Resection with anastomosis - Small intestine - duodenum | $1,015.15 | 7 | 6 |
| S165 | Resection with anastomosis - Small intestine - other | $741.45 | 7 | 6 |
| S166 | Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy) | $899.85 | 7 | 7 |
| S167 | Resection with anastomosis - Large intestine any portion | $877.95 | – | – |
| E796 - with mobilization of splenic flexure, to S167 . . . Add | $102.40 | – | – | |
| S169 | Resection with anastomosis - Total colectomy with ileorectal anastomosis | $1,313.65 | 9 | 9 |
| S172 | Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy | $2,247.70 | – | – |
| S171 | Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure) | $1,128.10 | 8 | 7 |
| E808 - Resection with anastomosis neorectal pouch formation, to S169 or S171 . . . Add | $150.00 | – | – | |
| S168 | Ileostomy - subtotal colectomy | $1,260.40 | 7 | 7 |
| S170 | Ileostomy - plus total colectomy plus abdominoperineal resection | $2,183.65 | 10 | 9 |
| S173 | Ileostomy - Two-surgeon team - abdominal | $1,812.00 | 10 | 9 |
| S174 | Ileostomy - Two-surgeon team - perineal | $533.80 | – | – |
| E738 - Ileostomy with continent ileostomy, to either S168, S169, S170, S173 or S174 . . . Add | $387.40 | – | – | |
| E718 - Ileostomy bowel resection following previous resection with anastomosis, or following S217, S213, S214 or S215 . . . Add | $142.40 | – | – | |
| S188 | Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula) | $770.55 | 6 | 6 |
| S189 | Ileostomy -Intestinal bypass for morbid obesity | $951.20 | 10 | 7 |
| S213 | Proctectomy - Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection) | $1,204.50 | 8 | 8 |
| E808 - Resection with anastomosis neorectal pouch formation, to S169 or S171 . . . Add | $150.00 | – | – | |
| S214 | Proctectomy - Abdominoperineal resection or pull through | $1,524.20 | 10 | 8 |
| S215 | Two surgeon team - abdominal surgeon | $1,107.50 | 10 | 8 |
| S216 | Two surgeon team - perineal surgeon | $459.05 | – | – |
| S217 | Hartmann procedure | $1,063.60 | 9 | 8 |
| S218 | Colon reconstruction following Hartmann procedure | $1,086.75 | 8 | 8 |
| E796 - Resection with anastomosis Large intestine any portion with mobilization of splenic flexure, to S167 . . . Add | $102.40 | – | – | |
| Z752 | Biopsy of rectosigmoid or above for Hirschsprung’s disease | $82.35 | 6 | 6 |
| E710 - each additional biopsy . . . Add | $45.55 | – | – | |
| S222 | Presacral or transsacral proctotomy and excision of lesion | $474.35 | 7 | 6 |
| Z753 | Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm | $24.25 | 7 | – |
| Z754 | Polyps or tumours of rectum or sigmoid * - excision base under 2 cm | $82.35 | 6 | 6 |
| Z784 | Polyps or tumours of rectum or sigmoid * - excision and suture base 2 to 5 cm, inclusive | $213.50 | 6 | 6 |
| Z785 | Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm | $582.95 | 7 | 6 |
| Z755 | Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive | $142.40 | 6 | 6 |
| Z761 | Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm | $219.90 | 7 | 6 |
| E688 - Polyps or tumours of rectum or sigmoid * with laser debulking . . . Add | $69.80 | – | – | |
| S247 | Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation | $260.15 | 6 | 6 |
| Z565 | Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation | $99.60 | 6 | – |
| Z546 | Barron ligation(s) (not to exceed 6 in any one year) | $34.60 | – | – |
| Z566 | Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year) | $39.10 | – | – |
| S249 | Local excision for malignancy | $291.05 | 7 | 6 |
| Z757 | Excision of benign anal lesion(s) | $47.15 | 6 | 6 |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital, to G328 add | $11.55 | – | – | |
| S251 | Fistulainano | $213.15 | 6 | 6 |
| S269 | Hepatectomy - local excision of lesion (less than 5 cm) | $350.65 | 7 | 7 |
| S275 | Hepatectomy - partial lobectomy (excision greater than 5 cm) | $585.05 | 8 | 8 |
| S270 | Hepatectomy - Formal anatomical resection - one or two liver segments | $1,426.05 | 12 | 12 |
| S267 | Hepatectomy - Formal anatomical resection - three or four liver segments | $1,652.15 | 12 | 12 |
| S271 | Hepatectomy - Formal anatomical resection - five or more liver segments | $1,938.50 | 12 | 12 |
| S272 | Hepatectomy - Laparotomy, cholangiogram and biopsy (neonatal jaundice) | $387.40 | 7 | 6 |
| E765 - Liver transplant with reconstruction or repair of the hepatic artery (i.e. reanastomosis or conduit), to liver transplant fee . . . Add | $300.45 | – | – | |
| S274 | Liver transplant - Deceased donor, liver removal . . . Add | $964.50 | 8 | 6 |
| S294 | Liver transplant - Deceased donor, liver transplant . . . Add | $2,748.75 | 30 | 20 |
| S295 | Liver transplant - Repeat liver transplant . . . Add | $3,776.20 | 40 | 30 |
| S265 | Liver transplant - Living donor, hepatectomy . . . Add | $4,760.60 | 35 | 20 |
| S266 | Liver transplant - Living donor, orthotopic liver transplant . . . Add | $5,289.55 | 35 | 25 |
| S287 | Cholecystectomy | $478.00 | 7 | 7 |
| E721 - Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy with choledochotomy . . . Add | $122.05 | – | – | |
| E722 - with transduodenal sphincterotomy . . . Add | $162.70 | – | – | |
| E728 - with truncal or selective vagotomy . . . Add | $167.65 | – | – | |
| E729 - with highly selective vagotomy . . . Add | $284.75 | – | – | |
| E794 - with intraoperative cholangiogram, to S287 . . . Add | $35.85 | – | – | |
| S298 | Pancreatectomy - Complete with splenectomy | $1,270.20 | 13 | 9 |
| S300 | Pancreatectomy - “Whipple type” procedure | $2,457.35 | 13 | 9 |
| S301 | Pancreatectomy - Local complete excision of tumour or lesion | $508.55 | 8 | 8 |
| S309 | Pancreatectomy - Distal body, tail with splenectomy with or without anastomosis | $986.05 | 11 | 9 |
| S299 | Pancreatectomy - Distal body, tail with preservation of spleen, with or without anastomosis | $1,250.00 | 11 | 9 |
| E709 - Partial or subtotal with cholecystectomy . . . Add | $122.05 | – | – | |
| S316 | Excision of full thickness abdominal wall tumour and primary closure | $0.00 | 7 | – |
| S317 | Umbilectomy - plastic | $111.45 | 7 | 6 |
| S318 | Panniculectomy, including any necessary diastasis repair | $500.00 | 6 | 6 |
| E748 - Panniculectomy with repair of umbilical hernia, to S318 . . . Add | $122.05 | – | – | |
| E809 - Panniculectomy excision of pannus that extends beyond the mid thigh, to S318 . . . Add | $250.00 | – | – | |
| S319 | Panniculectomy - Mesenteric cyst | $335.15 | 6 | 6 |
| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| S030 | Closure of fistula - anterior alveolar | $197.45 | 6 | 6 |
| S033 | Closure of fistula - palate | $281.95 | 8 | 6 |
| S036 | Uvulopalatopharyngoplasty (includes tonsillectomy) | $239.75 | 6 | – |
| S069 | Pharyngoplasty | $360.45 | 8 | 8 |
| S002 | Excision of parapharyngeal space lesions (with mobilization of parotid gland) | $907.05 | 8 | 6 |
| S067 | Partial pharyngectomy transthyroid or lateral | $1,017.20 | 11 | 8 |
| S068 | Pharyngolaryngectomy | $1,155.45 | 14 | 8 |
| E882 - Laryngectomy total with thyroid lobectomy, to M081 . . . Add | $177.40 | – | – | |
| E883 - Laryngectomy total with thyroid lobectomy, must include excision of isthmus and pyramidal tract, to M081 . . . Add | $266.60 | – | – | |
| E884 - Laryngectomy total with total thyroidectomy, to M081 . . . Add | $374.00 | – | – | |
| S058 | Branchial - cleft lesion | $306.85 | 7 | 6 |
| S059 | Branchial - repeat procedure | $435.30 | 6 | 6 |
| S061 | Thyroglossal duct remnant | $340.15 | 7 | 6 |
| S062 | Thyroglossal duct remnant - repeat procedure | $410.40 | 6 | 6 |
| S063 | Tonsillectomy and may include adenoidectomy | $178.35 | – | – |
| S065 | Adenoidectomy | $101.25 | – | – |
| E839 - Nasal polyp single with flexible endoscope, to Z304 . . . Add | $19.20 | – | – | |
| S066 | Secondary suture or cauterization following tonsillectomy and/or adenoidectomy - when haemorrhage occurs after initial procedure | $121.05 | 6 | – |
| S024 | Excision of torus palatinus | $197.45 | 6 | 6 |
| S236 | Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures) | $203.05 | 6 | – |
| S237 | Linear or radial echo-endoscope - including biliary and/or pancreatic examination (scope also used for therapeutic procedures) | $253.80 | 6 | – |
| E802 - Linear or radial echoendoscope biopsy or fine needle aspiration, to a maximum of 3, per lesion . . . Add | $50.75 | – | – | |
| E803 - Linear or radial echoendoscope dilation of stricture . . . Add | $30.65 | – | – | |
| E804 - Linear or radial echoendoscope injection of one or more of any of the following metastases, nodes, masses, or celiac plexus . . . Add | $145.05 | – | – | |
| E805 - Linear or radial echoendoscope drainage of pseudocyst (including stent insertion if performed) . . . Add | $203.05 | – | – | |
| S073 | Cervical approach | $0.00 | 7 | 6 |
| S074 | Thoracic approach | $0.00 | 13 | 10 |
| S075 | Abdominal approach | $0.00 | 8 | 7 |
| S131 | Vagotomy - truncal or selective | $375.80 | 7 | 7 |
| S124 | Vagotomy - highly selective (as sole procedure without pyloroplasty or gastroenterostomy) | $503.10 | 7 | 7 |
| S121 | Transabdominal vagotomy after previous vagotomy | $416.50 | 8 | 7 |
| S120 | Gastric bypass with Roux-en-Y anastomosis, for morbid obesity | $1,350.00 | 10 | 7 |
| S115 | Reversal of previous vertical banded gastroplasty | $820.00 | 10 | 7 |
| S114 | Sleeve gastrectomy | $820.00 | 10 | 7 |
| S113 | Removal of gastric band | $300.00 | 10 | 7 |
| Z513 | Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope | $107.50 | – | – |
| Z570 | Fulguration of first polyp through colonoscope | $49.80 | – | – |
| E719 - each additional polyp (maximum of 4) . . . Add | $24.25 | – | – | |
| Z571 | Excision of first polyp greater than or equal to 3mm through colonoscope | $150.15 | 4 | – |
| E720 - each additional polyp greater than or equal to 3mm (maximum of 2) . . . Add | $77.50 | – | – | |
| Z764 | Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm | $69.80 | – | – |
| Z765 | Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater | $131.75 | – | – |
| E687 - Excision of obstructive tumour or stricture through colonoscopy with laser debulking . . . Add | $69.80 | – | – | |
| E685 - Excision of obstructive tumour or stricture through colonoscopy total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each . . . Add | $227.65 | – | – | |
| S175 | Intestinal obstruction (mechanical) - One stage - without resection | $712.35 | 7 | 6 |
| S176 | Intestinal obstruction (mechanical) - One stage - with entero-enterostomy | $894.85 | 7 | 6 |
| S177 | Intestinal obstruction (mechanical) - One stage - with resection | $1,055.25 | 7 | 6 |
| S180 | Intestinal obstruction (mechanical) - One stage - with enterotomy | $824.80 | 7 | 6 |
| S178 | Intestinal obstruction (mechanical) - Intestinal atresia (newborn) | $1,512.75 | 7 | 6 |
| S179 | Intestinal obstruction (mechanical) - Meconium ileus | $1,512.75 | 7 | 6 |
| S291 | Choledochectomy for tumour* | $406.85 | 8 | 8 |