Ocular and aural surgical procedures OHIP billing codes


Examination

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

Endoscopy

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

Manipulation

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

Incision

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

Repair

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

Excision

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

Debridement

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

Other

Code Description Amount Ans Units Assist Units
UVC Repair of lacerations - Removal of sutures only $0.00 N/A N/A
E208 - Peritomy (Gunderson conjunctival flap) $225.00 6 N/A