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 .
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 | $39.60 | 6 | – |
Z609 | Urethrotomy - Periurethral abscess | $31.60 | 6 | – |
Code | Description | Amount | Ans Units | Assist Units |
---|---|---|---|---|
S410 | Calycectomy with diversion of urine | $512.00 | 7 | 7 |
S411 | Partial or heminephrectomy | $890.80 | 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 | $890.80 | 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 | $1,237.25 | 10 | 7 |
S420 | Nephrectomy - Nephroureterectomy, total, with resection of ureterovesical junction | $673.10 | 10 | 7 |
S449 | Ureterectomy - including ureterovesical junction | $445.40 | 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 | $733.50 | 7 | 6 |
S536 | Caruncle | $118.80 | 6 | 6 |
S537 | Urethral papilloma, single or multiple | $118.80 | 6 | – |
S541 | Diverticulectomy male or female | $260.85 | 7 | 6 |
S542 | Posterior urethral valve | $331.70 | 6 | 6 |
S543 | Prolapse urethra | $118.80 | 7 | 6 |
S544 | Urethrectomy - radical | $296.95 | 6 | 6 |
Code | Description | Amount | Ans Units | Assist Units |
---|---|---|---|---|
S422 | Pyeloplasty (with or without nephropexy) | $890.80 | 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 25% | $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 | $494.90 | 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 | $346.45 | 6 | 6 |
S513 | Cystoplasty, using intestine | $692.85 | 9 | 8 |
S518 | Plastic repair of bladder neck - child | $494.90 | 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 |
---|---|---|---|---|
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 | $791.85 | 6 | 6 |
S524 | Closure of fistula - Vesicovaginal - transvesical approach (with or without omental flap) | $544.40 | 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 | $643.35 | 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 |
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 | $168.25 | 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 | – | – |
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 | – | – |
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 | $125.70 | 6 | – |
E819 - diagnosticureteroscopy of second ureter, to Z628 . . . Add | $54.65 | – | – | |
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 | – | – |
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 |
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 |
Code | Description | Amount | Ans Units |
---|---|---|---|
Z621 | Dilatation of stricture - male, local anaesthetic | $14.85 | – |
Z619 | Dilatation of stricture - male, general anaesthetic | $52.70 | 6 |
Z622 | Dilatation of urethra - female | $9.90 | – |
Z620 | Dilatation of urethra - female, general anaesthetic | $41.65 | 6 |
Z615 | Filiform and follower urethral dilation and may include bladder catheterization | $59.75 | 6 |
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 | $791.85 | 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 | $445.40 | 6 | 6 |