| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |