Female genital surgical procedures OHIP billing codes


Excision

Code Description Amount Ans Units Assist Units
Z477 Biopsy(ies) - when sole procedure - local anaesthetic $26.85 N/A N/A
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00 N/A N/A
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 N/A N/A
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 N/A N/A
Z736 Condylomata -Surgical excision or electrodesiccation or CO2 laser - local anaesthetic $26.85 N/A N/A
Z769 Condylomata -Surgical excision or electrodesiccation or CO2 laser - general anaesthetic $115.10 6 N/A
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 N/A N/A
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00 N/A N/A
Z723 Biopsy(ies) - when sole procedure -general anaesthetic $92.30 N/A N/A
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 N/A N/A
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 N/A N/A
E860 - Ectopic pregnancy diagnostic laparoscopy prior to laparotomy . . . Add $131.45 N/A N/A
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 N/A N/A
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00 N/A N/A
S772 Endometrial ablation by any method $218.65 6 N/A
S768 Abortion - spontaneous, incomplete including D&C $93.00 6 N/A
S752 Abortion - induced by any surgical technique up to and including 14 weeks gestation $112.40 6 N/A
S785 Abortion - induced by any surgical technique after 14 weeks of gestation $189.85 6 N/A
S756 Abortion - missed abortion, or evacuation of molar pregnancy, by any surgical technique $112.40 6 N/A
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 N/A N/A
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 N/A N/A
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 N/A N/A
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 N/A N/A
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 N/A N/A

Cauterization

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

Manipulation

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

Incision

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

Endoscopy

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

Repair

Code Description Amount Ans Units Assist Units
S708 Nonobstetrical injury to vulva and/or vagina, and/or perineum $0.00 N/A N/A
S701 Repair of infibulation - resulting from female genital mutilation $115.00 6 N/A
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 N/A N/A
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 N/A N/A
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 N/A N/A
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00 N/A N/A
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 N/A 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 N/A 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 N/A N/A
E208 - Peritomy (Gunderson conjunctival flap) $225.00 6 N/A
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 N/A N/A
E855 - Laparoscopy with dye injection . . . Add $25.85 N/A N/A
Z718 Oocyte retrieval $174.50 6 6