Ocular and aural surgical procedures OHIP billing codes

These are the most commonly used Ocular and aural surgical procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


Examination

Code Description Amount Ans Units
Z850 - when sole procedure or with unlisted minor procedures with general anaesthesia $200.00 6
E108 - Enucleation, donor eye, postmortem (one or both) $131.25
E104 - Removal of intraocular foreign body $542.00 6
E105 - Nonmagnetic posterior $424.35 6
E106 - Penetrating wound with prolapse of intraocular tissue segment $640.00 7
E107 - Penetrating wound without prolapse of intraocular tissue $496.00 7

Endoscopy

Code Description Amount Ans Units
Z915 Removal of foreign body - simple $10.55
Z866 Removal of foreign body - complicated, general anaesthetic $50.90 6
E302 - Removal of foreign body requiring post auricular or endaural incisions $202.35 6
E303 - Removal of foreign body from middle ear space $202.35 6
Z906 Removal of drainage tube(s) - under general anaesthetic, unilateral $66.50 6

Manipulation

Code Description Amount Ans Units
Z901 Irrigation of nasolacrimal system unilateral or bilateral $27.00
Z902 Probing and dilation of duct, initial or repeat - Local anaesthetic - unilateral $27.00
Z864 Probing and dilation of duct, initial or repeat - General anaesthetic - unilateral or bilateral $200.00 6
Z865 Probing and dilation of duct, initial or repeat - General anaesthetic - with insertion of inlying tube or filament $250.00 6
Z918 Re-insertion of Lester Jones tube $52.40

Incision

Code Description Amount Ans Units
Z851 Paracentesis $70.00 6
Z847 Removal embedded foreign body - local anaesthetic - one foreign body $33.00
Z848 Removal embedded foreign body - local anaesthetic - two foreign bodies $45.00
Z845 Removal embedded foreign body - local anaesthetic - three or more foreign bodies $0.00
Z852 Removal embedded foreign body - general anaesthetic $74.20 6
Z849 Chelation of band keratopathy with EDTA - local anaesthetic $153.80
Z863 Chelation of band keratopathy with EDTA - general anaesthetic $150.00 6
E128 - Chelation of band keratopathy with EDTA Anterior chamber open evacuation of clot $496.00 6
E206 - Pterygium simple (unilateral) $175.00 6
E205 - Pterygium with partial keratectomy $355.00 6
E207 - Pterygium with lamellar graft $453.00 6
E937 - Pterygium with autogenous conjunctival transplant . . . Add $100.00
E948 - Pterygium with mucous membrane graft . . . Add $113.20
E117 - Pterygium Keratectomy or relaxing incisions post penetrating keratoplasty or post traumatic corneal scar (non cosmetic) $308.30 6
E118 - Excision of dermoid with partial keratectomy $308.30 6
E119 - Excision of dermoid with lamellar graft $542.00 6
Z854 Drainage of abscess - local anaesthetic $60.00
Z855 Drainage of abscess - general anaesthetic $225.00 6
Z862 Dacryocystotomy - general anaesthetic $52.40 6
Z917 Three “Snip” punctum procedure - per punctum - maximum 4 per patient . . . Add $65.70 6
E215 - Dacryocystectomy $496.00 6
E216 - Lacerated canaliculus immediate repair $350.00 6
E217 - Lacerated canaliculus delayed repair $411.20 6
E218 - Lacerated canaliculus Dacryocystorhinostomy repeat procedure by second surgeon . . . Add $150.00
E954 - Lacerated canaliculus Dacryocystorhinostomy with lacrimal bypass procedure (e.g. Lester Jones) or canalicular reconstruction . . . Add $80.90
E219 - Lacrimal bypass procedure (e.g. Lester Jones) when sole procedure (both stages) $250.00 6
Z909 Biopsy, ear canal $25.85
Z846 Biopsy, ear canal - general anaesthetic (if sole procedure performed) $50.90 6
E317 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing general anaesthetic $139.95 6
E318 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing local anaesthetic $92.40
E305 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing Limited incision for perichondritis, removal of cartilage and drainage $155.30 6
E306 - Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing Radical surgery for perichondritis $291.50 7
Z912 Myringotomy, to include aspiration when indicated - unilateral $42.15 6
Z914 Myringotomy, to include aspiration when indicated - with insertion of ventilation tube using operating microscope unilateral $78.60 6
Z916 Intratympanic injection, with or without myringotomy - unilateral $75.90 6
E320 - Mastoidectomy Cortical mastoidectomy $345.15 10
E322 - Mastoidectomy Modified or radical mastoidectomy $627.10 10
E315 - Mastoidectomy Revision mastoidectomy with revision of middle ear $674.00 10
E946 - Mastoidectomy Revision mastoidectomy with revision of middle ear with mastoid cavity obliteration E315, E320 or E322 . . . Add $106.45
E959 - Mastoidectomy Revision mastoidectomy with revision of middle ear with meatoplasty and/or canalplasty . . . Add $106.45
E960 - Mastoidectomy Revision mastoidectomy with revision of middle ear with ossiculoplasty E315, E320 or E322 . . . Add $13.80
E985 - Mastoidectomy Revision mastoidectomy with revision of middle ear with tympanoplasty, to E315, E320 or E322 . . . Add $106.45
E319 - Mastoidectomy Atticotomy $345.30 6
E323 - Myringoplasty $209.05 6

Repair

Code Description Amount Ans Units
Z860 Zeigler punctures (for entropion/ectropion) $26.60 6
E930 - Lateral canthoplasty unilateral when done in conjunction with another procedure . . . Add $102.35
E199 - Laceration, full thickness $225.00 6
E198 - Laceration, full thickness including lid margin $300.00 7
E221 - Laceration of eyelid including levator palpebrae superioris with ptosis $329.30 7
E200 - Blepharoplasty excision of skin, with or without partial excision of the orbicularis oculi muscle one lid $82.80 6
E201 - Blepharoplasty same as E200 plus removal of orbital fat and/or major lid fold reconstruction one lid $205.55 7
E211 - Lid lengthening procedure $288.35 6
E953 - Lid lengthening procedure with scleral graft . . . add $80.90
E222 - Primary closure of full thickness lid defect $290.00 6
E942 - Primary closure of full thickness lid defect with cantholysis . . . Add $53.20
E943 - Primary closure of full thickness lid defect with releasing rotation flap including cantholysis . . . Add $89.45
E223 - Tarsoconjunctival flap and skin graft (Hughes) $484.35 7
E224 - Tarsoconjunctival flap and skin graft (Hughes) second stage $108.45 7
E225 - Lower or upper eyelid bridge flap $484.35 6
E226 - Lower or upper eyelid bridge flap second stage $108.45 6
E227 - Temporal rotation flap $514.80 6
E944 - Temporal rotation flap with free posterior lamellar graft . . . ADD $175.15
E228 - Free tarsal, scleral or cartilage graft with local skin mobilization $535.80 7
E229 - Free composite eyelid graft $535.80 7
E230 - Medial canthoplasty (skin and muscle) $257.90 6
E231 - Medial canthal tendon tendon repair only $267.35 7
E232 - Medial canthal tendon fixation to bone $412.05 6
E233 - Medial canthal tendon fixation to bone when done in conjunction with another procedure . . . add $153.25
E234 - Lateral canthal surgery Canthotomy $51.45
E235 - Lateral canthal surgery Cantholysis when primary procedure $107.50 6
E236 - Lateral canthal surgery Lateral canthopexy $255.00 6
Z913 Repair of small perforation under local anaesthesia, with or without debridement, unilateral $39.00
E959 - Mastoidectomy Revision mastoidectomy with revision of middle ear with meatoplasty and/or canalplasty . . . Add $106.45
E336 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) $345.15 7
E337 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) with ossiculoplasty $468.85 10
E957 - Tympanoplasty Type 1 (myringoplasty with exploration of middle ear) with ossiculoplasty with mastoidectomy . . . Add $138.05
E333 - Tympanoplasty Ossiculoplasty $406.55 10
E325 - Tympanoplasty Facial nerve decompression $642.45 10
E326 - Tympanoplasty Facial nerve grafting (to include decompression) $987.65 10
E327 - Tympanoplasty Closure of mastoid fistula $252.15 10
E328 - Tympanoplasty Tympanotomy $288.50 10
E981 - Tympanoplasty Tympanotomy with removal of middle ear tumour . . . Add $132.35
E329 - Tympanoplasty Tympanic neurectomy $370.10 10
E316 - Tympanoplasty Tympanotomy with fistula repair $395.05 10
E332 - Labyrinthotomy or labyrinthectomy (including Fick procedure) $548.45 10
E335 - Stapedectomy with prosthesis $637.15 10
E331 - Revision stapedectomy $673.65 6
E321 - Posterior/superior canal occlusion $612.70 8
E339 - Endolymphatic shunt or sac decompression $661.55 10
E345 - Temporal bone resection $1,379.10 15
E341 - Permanent Cochlear Prosthesis Insertion Intracochlear $737.30 9
E346 - Bone Conduction Hearing Aid Insertion implantable, including necessary mastoidectomy $345.15 7
E383 - All levels acute spinal cord injury premium . . . Add $255.00
E382 - All levels spinal duroplasty using autologous/allogenic/synthetic tissue . . . Add $244.80

Excision

Code Description Amount Ans Units
Z871 Ulcer cautery - local anaesthetic $26.60
Z853 Ulcer cautery -general anaesthetic $74.20 6
E937 - Pterygium with autogenous conjunctival transplant . . . Add $100.00
E121 - Corneal transplant penetrating $740.00 7
E951 - Corneal transplant penetrating with artificial prosthesis . . . add $52.40
E122 - Corneal transplant lamellar $590.00 7
E124 - Corneal transplant Limbal stem cell transplant $740.00 8
E123 - Division of iris to cornea $161.75 6
E127 - Sclerotomy, posterior $166.45 4
E131 - Laser iridotomy $161.75 6
E134 - Laser angle surgery $205.55 7
E130 - Iridectomy surgical when sole procedure $308.30 6
E132 - Glaucoma filtering procedures $550.00 6
E136 - Glaucoma filtering procedures with intraocular implant of seton, to E132 . . . Add $290.00
E214 - Glaucoma filtering procedure and cataract extraction (same eye) $729.00 6
E950 - Glaucoma filtering procedure and cataract extraction (same eye) insertion of intraocular lens, to E214 . . . Add $92.50
E984 - Glaucoma filtering procedure and cataract extraction (same eye) following previous glaucoma filtering procedure, to E214 . . . Add $137.50
E212 - Bleb repair with conjunctival pulldown $210.00 6
E213 - Bleb repair with conjunctival, scleral or mucous membrane graft $262.50 6
E133 - Extraocular glaucoma procedures $182.75 6
E135 - Ciliary body reattachment $505.45 7
E156 - Intraocular suturing of iris/pupillary defect $350.00 7
E157 - Placement and suturing of iris prosthetic device with or without suturing of iris/pupillary defect $550.00 7
E137 - Needling (discission) primary or subsequent $161.75 5
E139 - Capsulotomy $161.75 5
E140 - Cataract all types of, by any procedure, includes insertion of intraocular lens $397.75 5
E141 - Cataract dislocated lens extraction $505.45 5
E143 - Cataract Excision of secondary membrane with corneal section following cataract extraction $450.00 5
E138 - Cataract Fixation of intraocular lens and/or capsular tension device by suturing $450.00 5
E144 - Cataract Removal of intraocular lens $450.00 5
E145 - Cataract Repositioning surgical of dislocated intraocular lens $350.00 5
E146 - Cataract Insertion of secondary intraocular lens $400.00 5
E940 - Anterior vitrectomy when done in conjunction with another intraocular procedure . . . Add $105.00
E148 - Anterior vitrectomy Vitrectomy by infusion suction cutter technique $720.00 7
E938 - Anterior vitrectomy Vitrectomy by infusion suction cutter technique with transscleral retinal suturing . . . Add $213.20
E147 - Anterior vitrectomy Intravitreal injection of medication for the treatment of wet macular degeneration $90.00 5
E149 - Anterior vitrectomy Vitreous injection or aspiration, posterior with needle for culture and/or injection of medication, other than for macular degeneration $90.00 5
E142 - Anterior vitrectomy Preretinal membrane peeling or segmentation to include posterior vitrectomy and coagulation $830.00 6
E936 - Vitreous exchange (air, gas or artificial vitreous substance) to vitrectomy . . . add $90.00
E151 - Reattachment of retina and choroid by diathermy, photocoagulation or cryopexy as an initial procedure $282.65 6
E152 - Scleral resection or buckling procedure with or without diathermy, photocoagulation or cryopexy, primary or subsequent procedure $700.00 7
E153 - Secondary operation following unsuccessful operation or fresh detachment in the same eye by a different surgeon with or without diathermy, photocoagulation or cryopexy $840.00 7
E161 - Removal of scleral implant $250.00 6
E154 - Photocoagulation (xenon, argon laser, etc.) one eye $182.75 6
E125 - Laser retinopexy for Retinopathy of Prematurity – one eye $750.00 6
E126 - Laser retinopexy for Retinopathy of Prematurity – both eyes $1,245.00 6
E155 - Cryopexy extraocular or subconjunctival one eye $205.00
E159 - Strabismus procedures one muscle, one or both eyes $369.00 6
E158 - Strabismus procedures two muscles, one or both eyes $460.00 6
E162 - Strabismus procedures three or more muscles, one or both eyes $542.00 6
E949 - Strabismus procedures for adjustable suture . . . Add $100.00
E952 - Strabismus procedures repeat strabismus procedure . . . Add $175.00
E164 - Drainage of abscess $350.00 7
E102 - Enucleation, with or without primary implant $542.00 7
E103 - Evisceration, with or without primary implant $542.00 7
E109 - Enucleation/evisceration with insertion of implant and reattachment of extraocular muscles $677.50 7
E171 - Exenteration $1,005.00 6
E941 - Exenteration with major plastic repair. . . add $296.90
E181 - Secondary orbital implant $640.00 6
E166 - Tumour or foreign body anterior route $450.00 6
E167 - Tumour or foreign body posterior exposure $640.00 7
E172 - Tumour or foreign body Biopsy (anterior) $200.00 6
E168 - Tumour or foreign body Biopsy (posterior exposure) $308.30 6
E165 - Tumour or foreign body Lateral orbitotomy (Kronlein) $590.00 7
E169 - Decompression two walls $542.00 6
E170 - Decompression three walls $575.85 6
E160 - Dermis fat graft immediately following enucleation $190.30
E163 - Dermis fat graft delayed $514.80 7
E176 - Fornix reconstruction $325.00 7
E177 - Fornix reconstruction with mucous membrane graft $321.60 6
E178 - Free mucous membrane graft full thickness $222.65 7
E179 - Free mucous membrane graft split thickness $296.90 6
E180 - Free mucous membrane graft Alloplastic volume replacement $411.20 7
Z874 Chalazion - Single or multiple - local anaesthetic $70.00
E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add $0.00
Z856 Chalazion - Single or multiple - general anaesthetic $150.00 6
Z857 Epilation - by hyfrecator, electrolysis $26.60 6
Z858 Epilation - by cryopexy $65.70 6
E948 - Pterygium with mucous membrane graft . . . Add $113.20
E190 - Tarsorrhaphy $150.00 6
E191 - Double adhesion $161.75 7
E192 - Ptosis $313.15 6
E193 - Ptosis repeat or second repair $393.00 6
E194 - Distichiasis unilateral $289.00 6
E195 - Trichiasis, repair by tarsal transplantation $241.70 7
E196 - Entropion, other than Zeigler puncture $290.00 6
E945 - Entropion, other than Zeigler puncture repeat by second surgeon . . . Add $52.40
E197 - Ectropion, other than Zeigler puncture $310.00 6
Z861 Biopsy $26.60 6
E937 - Pterygium with autogenous conjunctival transplant . . . Add $100.00
E948 - Pterygium with mucous membrane graft . . . Add $113.20
E210 - Excision of conjunctival lesion $100.00 6
Z904 Local excision, polyp - office $25.85
Z905 Local excision, polyp - hospital $50.90 6
E300 - Resection of pinna with primary closure $248.05 6
E301 - Resection of pinna with local flap $355.35 6
E311 - Exostosis endomeatal surgery and removal and drilling out of exostosis $243.35 7
E312 - Exostosis with multiple removal with necessary grafting $355.40 7
E313 - Exostosis post auricular approach $362.55 6
Z903 Exostosis - Pre-auricular sinus $62.95
E309 - general anaesthetic $208.05 6
E307 - Congenital defects External minor $219.60 6
E308 - Congenital defects External major $345.15 7
E310 - Congenital defects Otoplasty for correction of outstanding ears unilateral $247.35 7
E304 - Congenital defects Reconstruction of total ear with cartilage graft (e.g. Brent Technique), first stage $619.35 6
E314 - Meatoplasty or canalplasty for congenital malformation $297.25 7
E955 - Meatoplasty or canalplasty for congenital malformation with grafting of canal . . . add $203.25
E956 - Meatoplasty or canalplasty for congenital malformation with tympanoplasty and/or ossiculoplasty, and/or mastoidectomy . . . add $399.90 2

Debridement

Code Description Amount Ans Units
Z907 - unilateral $27.40
Z908 - under general anaesthetic, with or without repair of small perforation when sole ear procedure(s) performed unilateral $50.90 6

Other

Code Description Amount
UVC Repair of lacerations - Removal of sutures only $0.00
E208 - Peritomy (Gunderson conjunctival flap) $225.00