Urogenital and urinary surgical procedures OHIP billing codes


Incision

Code Description Amount Ans Units Assist Units
Z601 Renal biopsy, needle $143.55 6 N/A
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 N/A N/A
S478 Cystotomy or cystostomy $215.80 6 6
Z480 Cystotomy with trochar and cannula and insertion of tube $85.30 N/A N/A
E750 - when done in conjunction with another procedure . . . add $26.05 N/A N/A
S481 Cystolithotomy when sole operative procedure $260.65 7 N/A
S476 Cutaneous vesicostomy $437.20 6 6
Z616 Biopsy of urethra (without endoscopy) $23.55 6 N/A
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 N/A
Z609 Urethrotomy - Periurethral abscess $31.60 6 N/A

Endoscopy

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

Destruction

Code Description Amount Ans Units Assist Units
S521 Litholapaxy and removal of fragments $215.80 6 N/A
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 N/A

Introduction

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

Endoscopy Cystoscopy

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

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 N/A
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 N/A
E819 - diagnostic ureteroscopy of second ureter, to Z628 . . . Add $54.55 N/A N/A
E822 - ureteroscopy to upper third of ureter or renal pelvis, to Z628 . . . Add $37.70 N/A N/A
E760 - with removal of calculus . . . Add $167.85 N/A N/A
E761 - intracorporeal lithotripsy by any method . . . Add $95.95 N/A N/A
E820 - with biopsy of one or more sites in ureter and/or pelvis using ureteroscope . . . Add $49.75 N/A N/A
E823 - resection and fulgarization of one or more ureteral or renal pelvic tumours, to Z628 . . . Add $233.65 N/A N/A

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 N/A N/A
S434 Kidney re-transplant $1,858.15 13 9
E771 - team fee (not to be billed when assistant fees are billed) . . . Add $343.40 N/A N/A
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 N/A N/A
S437 Renal autotransplantation $1,161.60 10 7
Z631 Fine needle aspiration of renal transplant $45.15 N/A N/A

Percutaneous Procedures

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

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 N/A

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 N/A
S555 Fistula - perineal urethra $325.95 6 6
S556 Fistula - Rectourethral with diversion, colostomy and closure of colostomy $552.30 7 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 N/A N/A
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 N/A N/A
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

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 N/A N/A
E767 - Nephrectomy with repair of vena cava for thrombus below the hepatic vein . . . Add $138.15 N/A N/A
E768 - Nephrectomy with repair of vena cava for thrombus above the hepatic vein . . . Add $236.70 N/A N/A
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 N/A
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

Manipulation

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

Other

Code Description Amount Ans Units Assist Units
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
S525 Closure of fistula - rectovesical $446.90 7 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