Male genital surgical procedures OHIP billing codes


Incision

Code Description Amount Ans Units Assist Units
S567 Slit of prepuce (complete care) - newborn $14.35 N/A N/A
S568 Slit of prepuce (complete care) - infant $21.50 6 N/A
S569 Slit of prepuce (complete care) - adult or child $30.25 6 N/A
Z703 Abscess $55.15 6 N/A
Z709 Abscess or haematocele - local anaesthetic $20.10 N/A N/A
Z768 Abscess or haematocele - local anaesthetic - general anaesthetic $55.15 6 N/A
S616 Abscess or haematocele - local anaesthetic - general anaesthetic - and exploration - unilateral $85.30 7 6
Z710 Vasography $55.15 6 N/A
Z712 Biopsy, needle $85.45 6 N/A
Z713 Biopsy, needle - with drainage abscess $92.10 6 6
S644 Biopsy, perineal, open operation $215.80 6 6

Seminal Vesicles

Code Description Amount Ans Units Assist Units
Z711 Incision of abscess $120.80 6 N/A
S636 Vesiculectomy $552.30 6 6

Spermatic Cord

Code Description Amount Ans Units Assist Units
S630 Hydrocele excision - single $205.35 6 6
S631 Varicocele excision - single $205.35 7 6

Suture

Code Description Amount Ans Units Assist Units
S626 Vasectomy - uni - or bilateral - by any technique $107.40 6 N/A
E545 - when performed outside hospital . . . ADD $11.15 N/A N/A

Tunica Vaginalis

Code Description Amount Ans Units Assist Units
Z708 Hydrocele aspiration $16.25 N/A N/A
S611 Hydrocele excision unilateral $205.35 6 6

Epididymis

Code Description Amount Ans Units Assist Units
Z707 Incision of abscess $55.15 6 N/A
S601 Spermatocele or spermatic granuloma excision $205.35 6 6
S602 Epididymectomy - unilateral $170.65 6 6

Biopsy

Code Description Amount Ans Units Assist Units
Z704 Single $55.15 7 N/A
Z705 Bilateral $83.35 7 N/A
Z706 Bilateral - with vasography $120.80 6 N/A
S589 Orchidectomy - unilateral $170.65 7 6
S598 Radical orchidectomy for malignancy - unilateral $235.35 7 6
S590 Radical orchidectomy for malignancy - Retroperitoneal lymph node dissecton (RPLND) for testicular tumour $834.25 8 6

Repair

Code Description Amount Ans Units Assist Units
S578 Hypospadias or Epispadia - One stage repair - with meatus to but not into glans $287.75 7 6
S571 Hypospadias or Epispadia - One stage repair - with meatus to but not into glans - with advancement of meatus into glans $383.50 6 6
S572 Hypospadias or Epispadia - One stage repair - with meatus to but not into glans - into glans using island flap pedicle (penoscrotal) $662.45 6 6
S579 Hypospadias or Epispadia - Chordee repair $215.80 6 6
S580 Hypospadias or Epispadia - Plastic reconstruction, urethra $331.70 7 6
S581 Hypospadias or Epispadia - Closure urethrocutaneous fistula $92.10 7 N/A
S597 Hypospadias or Epispadia - Penile prosthesis for impotence $306.85 7 6
E755 - Hypospadias or Epispadia with inflatable prosthesis . . . Add $55.15 N/A N/A
S588 Hypospadias or Epispadia - Surgical removal of prosthesis $110.15 7 6
S566 Hypospadias or Epispadia - Revision including removal of prosthesis $239.75 7 6
Z700 Hypospadias or Epispadia - Intracorporeal injection for impotence $27.80 N/A N/A
S591 Orchidopexy - for undescended testis, any type, one or two stages to include hernia repair where required $331.70 7 6
S593 Orchidopexy - Exploration for undescended testicle, without orchidopexy $260.85 7 6
S600 Orchidopexy - Reduction of torsion of testis or appendix testis and orchidopexy (one or both sides) if required $235.35 6 6
S595 Orchidopexy - Ruptured testicle $170.65 7 6
S596 Orchidopexy - Insertion of testicular prosthesis $170.65 6 6
S623 Vasovasostomy and/or vasoepididymostomy - unilateral $215.80 6 6
S625 Vasovasostomy and/or vasoepididymostomy - including biopsy and vasography $260.85 6 6

Excision

Code Description Amount Ans Units Assist Units
S573 Circumcision - for physical symptomatology only - for patients aged one year or older $179.40 6 6
S577 Circumcision - for physical symptomatology only - for infants less than one year of age $90.05 6 6
Z702 Biopsy $23.55 6 N/A
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00 N/A N/A
S574 Amputation - partial $170.65 7 6
S575 Amputation - partial with inguinal glands 1 or 2 stages $437.20 7 6
S576 Amputation - radical with inguinal and femoral glands 1 or 2 stages $552.30 7 6
Z701 Condylomata - local anaesthetic $32.60 N/A N/A
Z767 Condylomata - general anaesthetic $78.60 6 N/A
S599 Condylomata - Excision plaque for Peyronies disease $210.95 7 6
S618 Resection of scrotum $215.80 7 6
S645 Prostatectomy - Perineal $574.60 7 6
S646 Prostatectomy - Perineal with vesiculectomy $875.00 1 8
S647 Prostatectomy - Suprapubic with or without removal of bladder stones $600.75 6 6
S650 Prostatectomy - Retropubic with or without removal of bladder stones - simple $600.75 6 6
S651 Prostatectomy - Retropubic with or without removal of bladder stones - radical $600.75 6 6
S652 Staging pelvic lymphadenectomy for prostatic cancer (laparoscopic or open) must include at a minimum bilateral obturator nodes $431.20 10 7
S653 Laparoscopic radical prostatectomy $1,411.70 10 8

Endoscopy

Code Description Amount Ans Units Assist Units
S655 Transurethral resection of prostate - and may include cystoscopy, meatotomy, dilatation of stricture, internal urethrotomy or vasectomy $450.60 7 N/A
S654 Transurethral resection of prostate - for residual or regrowth of tissue within one year of previous prostatectomy by same surgeon $411.20 6 N/A
S656 Transurethral resection of prostate - Transurethral drainage of abscess $85.30 6 N/A
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 N/A N/A
E854 - ureterolysis unilateral payable in conjunction with major gynaecological operative procedure . . . add $170.00 N/A N/A