Female genital surgical procedures OHIP billing codes

These are the most commonly used Female genital surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


Excision

Code Description Amount Ans Units Assist Units
Z477 Biopsy(ies) - when sole procedure - local anaesthetic $26.85
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00
Z475 Biopsy(ies) - when sole procedure - general anaesthetic $50.90 6 6
S707 Biopsy(ies) - when sole procedure - Hymenectomy (with or without perineotomy) or hymenotomy $92.30
S706 Biopsy(ies) - when sole procedure - Cyst of Bartholin’s gland $112.00 6 6
Z733 Condylomata - single or multiple - Chemical and/or cryosurgery - one or more $11.05
Z736 Condylomata -Surgical excision or electrodesiccation or CO2 laser - local anaesthetic $26.85
Z769 Condylomata -Surgical excision or electrodesiccation or CO2 laser - general anaesthetic $115.10 6
S703 Vulvectomy - simple $257.05 6 6
S704 Vulvectomy - radical without gland dissection $431.45 6 6
Z722 Biopsy(ies) - when sole procedure - local anaesthetic $26.85
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00
Z723 Biopsy(ies) - when sole procedure -general anaesthetic $92.30
S715 Biopsy(ies) - Excision of cyst(s), or benign tumour(s) $123.70 6 6
S742 Biopsy(ies) - Colpectomy e.g. for carcinoma $349.00 6 6
S702 Biopsy(ies) - Excision of congenital vaginal septum $123.70 6 6
Z720 Biopsy with or without fulguration $20.00
S765 Amputation of cervix $173.55 6 6
S766 Cervical stump - abdominal $321.90 6 6
S767 Cervical stump - vaginal $321.90 7 6

Excision, Suture Or Repair

Code Description Amount Ans Units Assist Units
S784 Ectopic pregnancy - management by any surgical technique $306.85 7 6
E852 - with tuboplasty . . . Add $47.90
E860 - Ectopic pregnancy diagnostic laparoscopy prior to laparotomy . . . Add $131.45
S738 Ectopic pregnancy - Salpingectomy or salpingooophorectomy (unior bilateral) $306.85 7 6
S741 Ectopic pregnancy - Tubal occlusion/interruption/removal by any method or approach for the purpose of sterilization $155.70 6 6
S735 Tubal plastic operation - fimbriolysis $306.85 6 6
S736 Tubal plastic operation - salpingostomy $359.55 7 6
S739 Tubal plastic operation - fimbriolysis and salpingostomy $359.55 7 6
S743 Repair of extensive unilateral or bilateral tubal and peritubal disease - laparotomy $616.60 8 8
Z737 Laparoscopy - Laser treatment of extensive pelvic disease $215.80 7 6

Incision Or Excision

Code Description Amount Ans Units Assist Units
Z770 Endometrial sampling $34.05
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00
S772 Endometrial ablation by any method $218.65 6
S768 Abortion - spontaneous, incomplete including D&C $93.00 6
S752 Abortion - induced by any surgical technique up to and including 14 weeks gestation $112.40 6
S785 Abortion - induced by any surgical technique after 14 weeks of gestation $189.85 6
S756 Abortion - missed abortion, or evacuation of molar pregnancy, by any surgical technique $112.40 6
S770 Abortion - hysterotomy $245.40 7 6
S783 Abortion - hysterotomy with tubal interruption $257.05 6 6
S754 Abortion - Diagnostic curettage (with or without cauterization, biopsy of cervix removal of polyps, or hysterosalpingography) $92.30
S764 Abortion - Myomectomy $383.90 7 6
S757 Hysterectomy - abdominal total or subtotal $463.00 7 6
S816 Hysterectomy - vaginal $463.00 7 6
S758 Hysterectomy - with anterior and posterior vaginal repair and including enterocoele and/or vault prolapse repair when rendered $616.60 6 6
S759 Hysterectomy - with anterior or posterior vaginal repair and including enterocoele and/or vault prolapse repair when rendered $523.55 7 6
E090 - Hysterectomy removal of one or both ovaries with moderate or severe endometrosis, to S757, S758 or S759 . . . Add $260.80
S710 Hysterectomy - with omentectomy for malignancy $680.65 6 6
S763 Hysterectomy - radical (Wertheim or Schauta) includes node dissection $893.55 8 8
S762 Hysterectomy - radical trachelectomy excluding node dissection $0.00
S776 Hysterectomy - Staging pelvic lymphadenectomy for carcinoma (laparoscopic or open) $431.20 6 6
S781 Hysterectomy - Staging Paraaortic lymphadenectomy for carcinoma (laparoscopic or open) (not eligible for payment when rendered with Z578 and/or S776) $431.20 6 6

Conization

Code Description Amount Ans Units Assist Units
Z766 Loop Electrosurgical Excision Procedure (LEEP) $78.00
S744 Cervix cone biopsy any technique, with or without D&C $173.15 6 6
Z729 Cryoconization, electroconization or CO2 laser therapy with or without curettage for premalignant lesion (dysplasia or carcinoma in situ), outpatient procedure $38.35

Cauterization

Code Description Amount Ans Units
Z732 Cryotherapy $17.30
Z724 Electro $8.55
Z725 Dilatation and cauterization under general anaesthesia $50.90 6

Manipulation

Code Description Amount Ans Units
Z735 Examination and/or dilatation (may include insertion and/or removal of IUD) - general anaesthetic as sole procedure $50.90 6

Incision

Code Description Amount Ans Units
S712 Culdotomy, drainage or needle puncture $115.00 6
Z728 Incision and drainage of cyst, abscess or haematoma $92.30 6

Endoscopy

Code Description Amount Ans Units
Z478 Vaginoscopy (premenarchal) with or without medication $50.90 6
Z731 Initial investigation of abnormal cytology of vulva and/or vagina or cervix under colposcopic technique with or without biopsy(ies) and/or endocervical curetting $50.90
Z787 Followup colposcopy with biopsy(ies) with or without endocervical curetting $50.90
Z730 Follow up colposcopy without biopsy with or without endocervical curetting $25.50
Z582 Hysteroscopy - diagnostic $105.40 6
Z583 Hysteroscopy - with uterine biopsy and/or D&C $131.40 6
Z585 Hysteroscopy - with cannulization of tube(s), lysis of intrauterine adhesions or embryo transfer $131.40 6
Z587 Hysteroscopy - with resection of one or more endometrial polyps, with or without D&C $200.00 6
Z586 Hysteroscopy - with lysis of intrauterine adhesions/synechiae requiring a minimum of 60 minutes of surgical time $349.00 7
E861 - paracervical block payable in addition to endometrial sampling, ablation or curettage by same physician in an office unilateral or bilateral . . . Add $9.00

Repair

Code Description Amount Ans Units Assist Units
S708 Nonobstetrical injury to vulva and/or vagina, and/or perineum $0.00
S701 Repair of infibulation - resulting from female genital mutilation $115.00 6
S716 Anterior or posterior repair $164.00 7 6
S774 Repair of incompetent cervix not associated with pregnancy $142.50 6 6
S779 Hysteroplasty - excision of septum $349.00 6 6
S775 Hysteroplasty - unification of double uterus (Strassman) $431.45 7 6
S777 Hysteroplasty - uterine inversion, operative $349.00 6 6
S778 Hysteroplasty - Presacral neurectomy (with or without ovarian neurectomy) $349.00 6 6

Excision (Unilateral Or Bilateral)

Code Description Amount Ans Units Assist Units
S780 Biopsy of ovaries by laparotomy $257.05 7 6
S745 Oophorectomy - and/or oophorocystectomy $306.85 7 6
E090 - Hysterectomy removal of one or both ovaries with moderate or severe endometrosis, to S757, S758 or S759 . . . Add $260.80
S782 Oophorectomy - with total omentectomy $410.40 6 6
S747 Oophorectomy - Para ovarian cystectomy $306.85 7 6
S714 Oophorectomy - Second look exploratory laparotomy including biopsies, when done as part of chemotherapy protocol for ovarian carcinoma with or without total omentectomy $431.45 6 6
S727 Oophorectomy - Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, or 4 and may include hysterectomy, omentectomy, bowel resection, one or more biopsies and/or resection of pelvic peritoneum $884.85 8 8
E853 - Oophorectomy with resection of diaphragm including reconstruction, to S727 . . . Add $145.00
S750 Oophorectomy - Radical resection pelvic and paraaortic nodes for cancer $797.45 8 6

Other

Code Description Amount Ans Units Assist Units
Z714 Abscess of vulva, Bartholin or Skene’s gland - incision and drainage - local anaesthetic $17.30
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00
Z715 Abscess of vulva, Bartholin or Skene’s gland - incision and drainage -general anaesthetic $50.90 6 6
Z716 Abscess of vulva, Bartholin or Skene’s gland - Marsupialization of Bartholin’s cyst or abscess $71.90 6 6
S717 Anterior or posterior - repair $303.40 7 6
S718 Anterior or posterior - repair of enterocoele and/or vault prolapse $349.00 7 6
S719 Posterior repair and repair of - enterocoele and/or vault prolapse $307.80 7 6
S723 Posterior repair and repair of - anal sphincter $272.40 6 6
S720 Anterior repair - with or without posterior repair and repair of uterine prolapse (Fothergill or Watkin's interposition) $349.00 7 6
S721 Anterior repair - Anterior, posterior repair with excision of cervical stump $349.00 7 6
S722 Post hysterectomy vault prolapse - repair by vaginal approach, may include enterocoele and/or anterior and posterior repair $349.00 7 6
S812 Post hysterectomy vault prolapse - repeat - repair by vaginal approach, may include enterocoele and/or anterior and posterior repair $453.70 7 6
S760 Abdominal approach to vaginal vault prolapse - vaginal sacropexy $349.00 6 6
S813 Abdominal approach to vaginal vault prolapse - repeat - vaginal sacropexy $453.70 6 6
S761 Abdominal approach to vaginal vault prolapse - Combined abdominal/vaginal approach for vaginal vault prolapse $431.45 7 7
S724 Abdominal approach to vaginal vault prolapse - Perineorrhaphy (not eligible for payment with delivery or other vaginal surgery procedures) $122.75 6 6
S725 Abdominal approach to vaginal vault prolapse - Colpocleisis (LeFort or modification) $257.05 7 6
S726 Abdominal approach to vaginal vault prolapse - Construction of artificial vagina $0.00 6 6
S523 Closure of fistula - Vesicovaginal - vaginal approach $772.40 6 6
S231 Closure of fistula - rectovaginal (any repair) $338.55 7 6
S729 Closure of fistula - Ureterovaginal $560.95 6 6
S709 Closure of fistula - Urethrovaginal $374.85 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
S815 Tension free vaginal tape midurethral sling, by any method/approach $381.60 6 6
S728 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - One surgeon $429.10 7 7
S730 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - vaginal surgeon $330.50 7 7
S740 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - abdominal surgeon $330.50 7
S731 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - One surgeon $557.95 7 7
S732 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - Two surgeons - vaginal surgeon $429.65 7 7
S733 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following previous failed procedure - Two surgeons - abdominal surgeon $429.65 7
S748 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - One surgeon $686.70 7 7
S749 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - Two surgeons - vaginal surgeon $528.75 7 7
S751 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures - Two surgeons - abdominal surgeon $528.75 7 7
S811 Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Following two or more failed procedures $829.40 8 8
UVC Repair of lacerations - Removal of sutures only $0.00
E208 - Peritomy (Gunderson conjunctival flap) $225.00 6
Z552 Peritoneoscopy, culdoscopy or laparoscopy - without biopsy $131.45 6 6
Z553 Peritoneoscopy, culdoscopy or laparoscopy - with biopsy and/or lysis of adhesions and/or removal of foreign body and/or cautery of endometrial implants $173.25 6 6
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
E855 - Laparoscopy with dye injection . . . Add $25.85
Z718 Oocyte retrieval $174.50 6 6