Urogenital and urinary surgical procedures OHIP billing codes

These are the most commonly used Urogenital and urinary surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


Incision

Code Description Amount Ans Units Assist Units
Z601 Renal biopsy, needle $143.55 6
S401 Drainage of kidney abscess $411.30 7 7
S402 Drainage of perinephric abscess $267.60 7 7
S403 Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst) $356.70 7 7
S400 Laparoscopic placement of probe(s) for ablation of renal tumour $404.95 7 7
S405 Nephrolithotomy - open $482.40 7 7
S408 Pyelolithotomy - open $437.20 7 7
S430 Removal of staghorn calculus filling renal pelvis and calyces - open, with or without x-ray control and/or anatrophic nephrolithotomy $657.75 9 7
S445 Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - upper 2/3 $376.80 7 6
S446 Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - lower 1/3 $482.40 7 6
S447 Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - upper 2/3 $437.20 6 6
S448 Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - lower 1/3 $522.50 7 6
Z605 Aspiration $12.50
S478 Cystotomy or cystostomy $215.80 6 6
Z480 Cystotomy with trochar and cannula and insertion of tube $85.30
E750 - when done in conjunction with another procedure . . . add $26.05
S481 Cystolithotomy when sole operative procedure $260.65 7
S476 Cutaneous vesicostomy $437.20 6 6
Z616 Biopsy of urethra (without endoscopy) $23.55 6
S530 Urethrotomy - external $215.80 6 6
S532 Urethrotomy - transurethral (visual) $166.05 6 6
S538 Urethrotomy - repeat procedure within 6 months by same surgeon $95.75 6 6
S531 Urethrotomy - Urethrostomy $215.80 6 6
Z604 Urethrotomy - Meatotomy and plastic repair $31.60 6
Z609 Urethrotomy - Periurethral abscess $31.60 6

Excision

Code Description Amount Ans Units Assist Units
S410 Calycectomy with diversion of urine $512.00 7 7
S411 Partial or heminephrectomy $512.00 7 7
S423 Partial or heminephrectomy with total ureterectomy $757.85 7 7
S412 Nephrectomy - ectopic kidney $467.00 7 7
S413 Nephrectomy - lumbar $467.00 7 7
S415 Nephrectomy - transperitoneal $522.50 7 7
S416 Nephrectomy - thoracoabdominal or radical nephrectomy $875.00 13 9
E766 - Nephrectomy with gland dissection . . . Add $29.70
E767 - Nephrectomy with repair of vena cava for thrombus below the hepatic vein . . . Add $138.15
E768 - Nephrectomy with repair of vena cava for thrombus above the hepatic vein . . . Add $236.70
S424 Nephrectomy - Extrophy plastic closure of bladder with closure of abdominal wall and urethral lengthening with closure of pelvic floor with or without reimplantation of ureters $939.70 10 7
S420 Nephrectomy - Nephroureterectomy, total, with resection of ureterovesical junction $673.10 10 7
S449 Ureterectomy - including ureterovesical junction $437.20 7 6
S450 Ureterectomy - other e.g. partial $331.70 7 6
S482 Cystectomy - Partial - partial for tumour or diverticulum (single or multiple) $381.60 6 6
S483 Cystectomy - Partial - with reimplantation of ureter $552.30 7 6
S490 Cystectomy - Partial - with reimplantation of ureters $552.30 7 6
S536 Caruncle $215.80 6 6
S537 Urethral papilloma, single or multiple $85.30 6
S541 Diverticulectomy male or female $260.85 7 6
S542 Posterior urethral valve $331.70 6 6
S543 Prolapse urethra $85.30 7 6
S544 Urethrectomy - radical $215.80 6 6

Repair

Code Description Amount Ans Units Assist Units
S422 Pyeloplasty (with or without nephropexy) $679.25 7 7
E754 - with removal of calculus . . . Add $57.50
S428 Symphysiotomy for horseshoe kidney with or without nephropexy and associated procedures $437.20 7 7
S452 Ureteroileal conduit $788.15 9 6
S454 Ureteroileal conduit - with ureterectomy and ileal replacement $893.50 9 6
S457 Ureteroureterostomy $552.30 8 6
E792 - when performed laparoscopically, to S457 . . . Add $0.00
S451 Re-implantation - Ureterovesical anastomosis or reimplantation unilateral $437.20 8 6
S561 Re-implantation of ureter with extensive tapering with or without ureterolysis $657.75 8 6
S562 Re-implantationof bifid ureter $482.40 8 6
S455 Ureterointestinal anastomosis - unilateral $331.70 7 6
S462 Ureterointestinal anastomosis - bilateral $438.35 6 6
S458 Ureterostomy - Cutaneous - unilateral $260.85 6 6
S463 Ureterostomy - Cutaneous - with lower third ureterotomy $381.60 6 6
S459 Ureterostomy - Ureterovaginal fistula $557.85 6 6
S512 Repair of ruptured bladder $330.90 6 6
S513 Cystoplasty, using intestine $657.75 9 8
S518 Plastic repair of bladder neck - child $331.70 6 6
S519 Plastic repair of bladder neck - adolescent or adult $437.20 7 6
S548 Urethral sling $381.60 6 6
S815 Tension free vaginal tape midurethral sling, by any method/approach $381.60 6 6
S549 Retropubic urethropexy for stress incontinence - primary procedure $376.70 6 6
S546 Retropubic urethropexy for stress incontinence - repeat procedure for failed retropubic or vaginal surgery for stress incontinence $489.70 7 6
S539 Retropubic urethropexy for stress incontinence - Insertion of artificial urinary sphincter $776.70 6 6
S540 Retropubic urethropexy for stress incontinence - Revision or removal of artificial urinary sphincter $239.75 7 6

Suture

Code Description Amount Ans Units Assist Units
S429 Ruptured or lacerated kidney repair or removal $437.20 7 7
S465 Traumatic rupture, or transection (partial or complete) - Immediate - upper 2/3 $381.60 6 6
S466 Traumatic rupture, or transection (partial or complete) - Immediate - lower 1/3 $437.20 6 6
S467 Traumatic rupture, or transection (partial or complete) - Late repair - upper 2/3 $437.20 6 6
S468 Traumatic rupture, or transection (partial or complete) - Late repair - lower 1/3 $482.40 7 6
S522 Closure of fistula - External, suprapubic $260.85 7 6
S523 Closure of fistula - Vesicovaginal - vaginal approach $772.40 6 6
S524 Closure of fistula - Vesicovaginal - transvesical approach (with or without omental flap) $467.00 6 6
S551 Rupture, anterior urethra (diversion of urine extra) $170.65 7 6
Z612 Endoscopic urethral realignment for urethral trauma $250.00 6 6
S552 Posterior urethra - immediate repair $437.20 7 6
S553 Posterior urethra - late repair $552.30 7 6
S554 Fistula - penile urethra (diversion of urine extra) $92.10 6
S555 Fistula - perineal urethra $325.95 6 6
S556 Fistula - Rectourethral with diversion, colostomy and closure of colostomy $552.30 7 6

Extra Renal Procedures

Code Description Amount Ans Units Assist Units
S431 Excision of retroperitoneal tumour $381.60 7 7
S432 Exploration of retroperitoneal tumour $260.85 7 7
S433 Sacrococcygeal teratoma $437.20 6 6
Z630 Extracorporeal shock wave lithotripsy $314.20 6

Percutaneous Procedures

Code Description Amount Ans Units Assist Units
Z629 Percutaneous nephrostomy $153.35 6
Z623 Insertion of stent $95.10
Z624 Dilatation of tract $105.25
Z625 Selective catheterization of calyces (one or more) $52.70
Z626 Nephroscopy, percutaneous or retrograde $95.95
Z627 Removal of renal calculi $167.85 7 6
E759 - if disintegrated by any method, to Z627 . . . Add $95.95
E772 - percutaneous removal of staghorn calculus filling renal pelvis and extending into calyces . . . Add $175.50
Z636 Endoscopic ureterotomy or pyelotomy $273.75 7
Z637 Percutaneous ablation of calyceal diverticulum to include dilation of communication $262.75 6
Z600 Change of nephrostomy tube $44.00
E762 - reconstruction or repair of renal artery done in addition torenal transplantation procedures $301.05

Renal Transplantation Procedures

Code Description Amount Ans Units Assist Units
S435 Kidney transplant $1,553.15 13 9
E769 - team fee (not to be billed when assistant fees are billed) . . . Add $260.05
S434 Kidney re-transplant $1,858.15 13 9
E771 - team fee (not to be billed when assistant fees are billed) . . . Add $343.40
S436 Donor nephrectomy unilateral or bilateral (to include renal perfusion with hypothermia when rendered by surgeon) $653.20 8 7
E753 - live donor . . . Add $156.30
S437 Renal autotransplantation $1,161.60 10 7
Z631 Fine needle aspiration of renal transplant $45.15

Endoscopic Procedures

Code Description Amount Ans Units Assist Units
S470 Cystoscopy with manipulation and/or removal of calculus and retrograde pyelogram if required $240.65 6
Z638 Endoscopic treatment of vesicoureteral reflux by subureteral injection of agent, unilateral or bilateral $450.00 6 6
Z628 Cystoscopy and diagnostic Ureteroscopy - above intramural $125.65 6
E819 - diagnostic ureteroscopy of second ureter, to Z628 . . . Add $54.55
E822 - ureteroscopy to upper third of ureter or renal pelvis, to Z628 . . . Add $37.70
E760 - with removal of calculus . . . Add $167.85
E761 - intracorporeal lithotripsy by any method . . . Add $95.95
E820 - with biopsy of one or more sites in ureter and/or pelvis using ureteroscope . . . Add $49.75
E823 - resection and fulgarization of one or more ureteral or renal pelvic tumours, to Z628 . . . Add $233.65

Endoscopy Cystoscopy

Code Description Amount Ans Units
Z606 Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy $71.00 5
Z607 Diagnostic and Therapeutic Procedures - Repeat within 30 days $35.50 5
E775 - Diagnostic and Therapeutic Procedures with catheterization of the ureter and collection of the ureteral specimen, unilateral . . . Add $15.35
E817 - Diagnostic and Therapeutic Procedures with catheterization of the ureter and retrograde injection of opaque media, unilateral. . . Add $15.35
E776 - Diagnostic and Therapeutic Procedures with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder. . . Add $24.90
E818 - Diagnostic and Therapeutic Procedures with insertion of ureteric stent, unilateral. . . Add $24.90
E777 - Diagnostic and Therapeutic Procedures with cystometrogram (to include urethral pressure profile if necessary). . . Add $11.50
E780 - Diagnostic and Therapeutic Procedures with needle biopsy of prostate . . . Add $32.60
E783 - Diagnostic and Therapeutic Procedures with secondary surgical evacuation of bladder clots and control of haemorrhage . . . Add $99.65
E784 - Diagnostic and Therapeutic Procedures with hydrodistention of bladder general anaesthetic . . . Add $49.85
E824 - Diagnostic and Therapeutic Procedures with bladder biopsy general anaesthetic. . . Add $49.85
E773 - Diagnostic and Therapeutic Procedures with placement of ureteric stent past obstructing lesion (unilateral). . . Add $49.90
E791 - Diagnostic and Therapeutic Procedures with periurethral injection of bulking agents. . . Add $26.00
E781 - Diagnostic and Therapeutic Procedures with electrocoagulation tumour(s). . . Add $49.90
E782 - Diagnostic and Therapeutic Procedures with electrocoagulation Hunner ulcer . . . Add $49.90
E786 - Diagnostic and Therapeutic Procedures with resection or incision bladder neck, female . . . Add $99.70
E787 - Diagnostic and Therapeutic Procedures with resection or incision bladder neck, male . . . Add $260.40
E788 - Diagnostic and Therapeutic Procedures with ureteral meatotomy, by any means . . . Add $99.70
E789 - Diagnostic and Therapeutic Procedures with removal foreign body or calculus . . . Add $99.70
E790 - Diagnostic and Therapeutic Procedures with removal of ureteric catheter . . . Add $8.80
E751 - Diagnostic and Therapeutic Procedures with insertion of chemotherapeutic agent(s) . . . Add $54.70
Z632 Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour 1 to 2 cm diameter $271.35 6
Z633 Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour over 2 cm diameter $437.20 6
Z634 Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - multiple tumours $437.20 6

Introduction

Code Description Amount
Z602 Catheterization - office $8.55
Z603 Catheterization - home $16.25
Z611 Catheterization - hospital $8.55
Z608 Manual catheter declotting and irrigation of bladder $58.65
Z610 Intravesical instillation of BCG or immunotherapeutic agent or chemotherapeutic agent for the treatment of bladder cancer $25.65

Destruction

Code Description Amount Ans Units Assist Units
S521 Litholapaxy and removal of fragments $215.80 6
S557 Urethrovesicolysis when sole operative procedure $215.80 6 6
S564 Transurethral incision or resection of external sphincter when sole operative procedure $325.95 6

Endoscopy

Code Description Amount Ans Units
Z617 Urethroscopy - diagnostic $35.50 6
Z618 Urethroscopy - with biopsy $77.70
S547 Urethroscopy - Removal of foreign body or calculus $170.65 7

Manipulation

Code Description Amount Ans Units
Z621 Dilatation of stricture - male, local anaesthetic $13.65
Z619 Dilatation of stricture - male, general anaesthetic $52.70 6
Z622 Dilatation of urethra - female $5.65
Z620 Dilatation of urethra - female, general anaesthetic $41.65 6
Z615 Filiform and follower urethral dilation and may include bladder catheterization $59.75 6

Other

Code Description Amount Ans Units Assist Units
S525 Closure of fistula - rectovesical $446.90 7 6
S460 Ureterolysis for periureteral fibrosis - unilateral $437.20 6 6
S461 Ureteroplasty (Hutch) - unilateral $331.70 6 6
S427 Bladder flap (Boari) - to include re-implantation of ureter $502.45 6 6
S484 Cystectomy - Complete - complete cystectomy, without transplant $657.75 10 6
S485 Cystectomy - Complete - with ureterointestinal transplant $984.65 13 8
S453 Cystectomy - Complete - with ureteroileal conduit $1,250.30 15 9
S440 Cystectomy - Complete - with continent urinary diversion $1,475.70 15 9
S438 Cystectomy - Complete - Retroperitoneal lymph node dissection for bladder cancer, specimen must include obturator, internal iliac and external iliac nodes as a minimum to the level of the iliac bifurcation, bilateral $630.00 7 7
S441 Cystectomy - Complete - Creation of continent urinary diversion $1,013.45 15 9
S471 Cystectomy - Complete - Excision of urachal cyst or sinus with or without umbilical hernia repair $296.30 6 6
S488 Extrophy - excision of bladder and repair of abdominal wall - inclusive of graft $215.80 6 6
S491 Extrophy - excision of bladder and repair of abdominal wall - Plastic repair of extrophy using bladder and including skin flaps $657.75 6 6
S545 Urethroplasty - First stage - posterior $381.60 6 6
S550 Urethroplasty - First stage - anterior $293.35 6 6
S558 Urethroplasty - Second stage $235.35 6 6
S535 Urethroplasty - One stage repair and may include skin grafting $381.60 6 6