OHIP Billing Codes

Specialty: Intestines Except Rectum

Code	Description	Anes	Asst	Fee
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S149	Enterotomy - Ileostomy	7	6	480.1
	E793 - laparoscopic or laparoscopic assisted - add 25%
S150	Enterotomy - Small intestine including excision of polyps or biopsy	7	6	415.05
S151	Enterotomy - Insertion of feeding enterostomy	7	6	363.65
	E737 - when done with another intraabdominal procedure - add			84
S154	Enterotomy - Large intestine including excision of polyps	7	6	415.05
S155	Enterotomy - Colonoscopy with laparotomy	7	6	395.2
S156	Enterotomy - Exteriorization of intestine (Mickulicz)	6	6	415.05
S157	Enterotomy - Colostomy	7	6	480.1
	E793 - laparoscopic or laparoscopic assisted - add 25%
S158	Enterotomy - Cecostomy	7	6	395.2
S160	Enterotomy - Enteroenterostomy	7	6	480.1
S162	Local excision of lesion of intestine	7	6	539.5
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S164	Resection with anastomosis - Small intestine - duodenum	7	6	1035.55
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
S165	Resection with anastomosis - Small intestine - other	7	6	756.35
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E793 - laparoscopic or laparoscopic assisted - add 25%
S166	Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy)	7	7	917.95
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E793 - laparoscopic or laparoscopic assisted - add 25%
S167	Resection with anastomosis - Large intestine any portion	7	7	895.6
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E793 - laparoscopic or laparoscopic assisted - add 25%
	E796 - with mobilization of splenic flexure - add			104.45
S168	Ileostomy - subtotal colectomy	7	7	1285.75
	E738 - with continent ileostomy - add			395.2
	E793 - laparoscopic or laparoscopic assisted - add 25%
S169	Resection with anastomosis - Total colectomy with ileorectal anastomosis	9	9	1340.05
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E738 - with continent ileostomy - add			395.2
	E793 - laparoscopic or laparoscopic assisted - add 25%
	E808 - neorectal pouch formation - add			153
S170	Ileostomy - plus total colectomy plus abdominoperineal resection	10	9	2227.55
	E738 - with continent ileostomy - add			395.2
	E793 - laparoscopic or laparoscopic assisted - add 25%
S171	Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure)	8	7	1150.75
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E793 - laparoscopic or laparoscopic assisted - add 25%
	E808 - neorectal pouch formation - add			153
S172	Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy	10	9	2292.9
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
	E793 - laparoscopic or laparoscopic assisted - add 25%
S173	Ileostomy - Two-surgeon team - abdominal	10	9	1848.4
	E738 - with continent ileostomy - add			395.2
S174	Ileostomy - Two-surgeon team - perineal	0		544.55
	E738 - with continent ileostomy - add			395.2
S175	Intestinal obstruction (mechanical) - One stage - without resection	7	6	726.65
S176	Intestinal obstruction (mechanical) - One stage - with entero-enterostomy	7	6	912.85
S177	Intestinal obstruction (mechanical) - One stage - with resection	7	6	1076.45
S178	Intestinal obstruction (mechanical) - Intestinal atresia (newborn)	7	6	1543.15
S179	Intestinal obstruction (mechanical) - Meconium ileus	7	6	1543.15
S180	Intestinal obstruction (mechanical) - One stage - with enterotomy	7	6	841.4
S181	Revision of ileostomy or colostomy - skin level	7	6	134.4
S182	Revision of ileostomy or colostomy - full thickness	7	6	477.3
S183	Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure)	6	6	321.15
S184	Suture of intestine	7	6	321.15
	E721 - with choledochotomy - add			124.5
S185	Closure of colostomy or enterostomy with or without resection and/or anastomosis	7	6	514.85
S187	Plication of small intestine for adhesions	7	6	539.5
S188	Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula)	6	6	786.05
S189	Ileostomy -Intestinal bypass for morbid obesity	10	7	970.3
	E793 - laparoscopic or laparoscopic assisted - add 25%
S191	Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair	7	6	970.3
S192	Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch	7	6	395.2
S193	Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch	7	6	809.45
Z491	Follow up of incomplete polyp resection	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z492	Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z493	Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
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	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z495	Follow up of unsatisfactory colonoscopy	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z496	Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
	E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add			47.25
Z497	Confirmatory colonoscopy - sigmoid to descending colon	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
	E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add			47.25
Z498	Follow up of abnormal colonoscopy sigmoid to descending colon	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
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	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z512	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy	4		37.55
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
Z513	Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope	0		109.65
Z514	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy	4		45.45
Z538	Reduction of prolapse	6		25.75
Z539	Dilation of gastrostomy, enterostomy, colostomy, etc.	6		25.75
Z540	Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy	0		81.4
	E732 - with biopsy - add			29.7
Z555	Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon	5		53
	E630 - endoscopic placement of stent in colon, - add			139.8
	E705 - into terminal ileum - add			30.9
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E740 - to splenic flexure - add			52.8
	E741 - to hepatic flexure - add			31.8
	E747 - to cecum - add			31.8
	E749 - when rendered in private office - add			22.8
	E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add			55.35
Z560	Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months)	4		93.95
	E629 - endoscopic placement of stent in duodenum - add			139.8
Z571	Excision of first polyp greater than or equal to 3mm through colonoscope	4		153.15
	E720 - each additional polyp greater than or equal to 3mm (maximum of 2) - add			79.05
Z580	Sigmoidoscopy (using 60 cm. flexible endoscope)	5		58.85
	E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add			27.6
	E749 - when rendered in private office - add			22.8
Z749	Subsequent procedure (within three months following previous endoscopic procedure)	4		74
	E629 - endoscopic placement of stent in duodenum - add			139.8
Z750	Resection of exteriorized intestine	7	6	84
	E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add			84
Z764	Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm	0		71.2
	E687 - with laser debulking - add			71.2
Z765	Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater	0		134.4
	E685 - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add			232.25
	E687 - with laser debulking - add			71.2

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