OHIP Billing Codes

Specialty: Intestines Except Rectum

Code Description Fee
S149 Enterotomy - Ileostomy 470.65
S150 Enterotomy - Small intestine including excision of polyps or biopsy 406.85
S151 Enterotomy - Insertion of feeding enterostomy 356.5
S154 Enterotomy - Large intestine including excision of polyps 406.85
S155 Enterotomy - Colonoscopy with laparotomy 387.4
S156 Enterotomy - Exteriorization of intestine (Mickulicz) 406.85
S157 Enterotomy - Colostomy 470.65
S158 Enterotomy - Cecostomy 387.4
S160 Enterotomy - Enteroenterostomy 470.65
S162 Local excision of lesion of intestine 528.85

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S164 Resection with anastomosis - Small intestine - duodenum 1015.15
S165 Resection with anastomosis - Small intestine - other 741.45
S166 Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy) 899.85
S167 Resection with anastomosis - Large intestine any portion 877.95
S168 Ileostomy - subtotal colectomy 1260.4
S169 Resection with anastomosis - Total colectomy with ileorectal anastomosis 1313.65
S170 Ileostomy - plus total colectomy plus abdominoperineal resection 2183.65
S171 Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure) 1128.1
S172 Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy 2247.7
S173 Ileostomy - Two-surgeon team - abdominal 1812
S174 Ileostomy - Two-surgeon team - perineal 533.8
S175 Intestinal obstruction (mechanical) - One stage - without resection 712.35
S176 Intestinal obstruction (mechanical) - One stage - with entero-enterostomy 894.85
S177 Intestinal obstruction (mechanical) - One stage - with resection 1055.25
S178 Intestinal obstruction (mechanical) - Intestinal atresia (newborn) 1512.75
S179 Intestinal obstruction (mechanical) - Meconium ileus 1512.75
S180 Intestinal obstruction (mechanical) - One stage - with enterotomy 824.8
S181 Revision of ileostomy or colostomy - skin level 131.75
S182 Revision of ileostomy or colostomy - full thickness 467.9
S183 Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure) 314.8
S184 Suture of intestine 314.8
S185 Closure of colostomy or enterostomy with or without resection and/or anastomosis 504.7
S187 Plication of small intestine for adhesions 528.85
S188 Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula) 770.55
S189 Ileostomy -Intestinal bypass for morbid obesity 951.2
S191 Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair 951.2
S192 Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch 387.4
S193 Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch 793.5
Z491 Follow up of incomplete polyp resection 51.95
Z492 Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending 51.95
Z493 Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending 51.95
Z494 Hereditary (e.g. Familial adenomatous Polyposis or Hereditary NonPolyposis Colorectal Cancer) or other bowel disorders (e.g. inflammatory bowel disease) associated with increased risk of malignancy 51.95
Z495 Follow up of unsatisfactory colonoscopy 51.95
Z496 Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon 51.95
Z497 Confirmatory colonoscopy - sigmoid to descending colon 51.95
Z498 Follow up of abnormal colonoscopy sigmoid to descending colon 51.95
Z499 Absence of signs or symptoms, family history associated with an increased risk of malignancy (e.g. a first degree relative or at least two second degree relatives with colorectal cancer or a premalignant lesion) sigmoid to descending colon 51.95
Z512 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy 36.8
Z513 Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope 107.5
Z514 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy 44.55
Z516 Excision of first polyp (20 mm to 29 mm) 150.15
Z517 Excision of first polyp (10 mm to 19 mm) 150.15
Z538 Reduction of prolapse 25.25
Z539 Dilation of gastrostomy, enterostomy, colostomy, etc. 25.25
Z540 Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy 79.8
Z555 Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon 51.95
Z560 Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months) 92.1
Z571 Excision of first polyp greater than or equal to 3mm through colonoscope 150.15
Z580 Sigmoidoscopy (using 60 cm. flexible endoscope) 57.7
Z749 Subsequent procedure (within three months following previous endoscopic procedure) 72.55
Z750 Resection of exteriorized intestine 82.35
Z764 Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm 69.8
Z765 Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater 131.75

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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