OHIP Billing Codes

Specialty: Oral Cavity And Pharynx

Code	Description	Anes	Asst	Fee
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S002	Excision of parapharyngeal space lesions (with mobilization of parotid gland)	8	6	925.3
S003	Lesion - 2 to 4 cms, inclusive	6	6	361.65
S004	Ranula	6	6	169.15
S005	Composite resection of lesion of oral cavity and/or oropharynx with partial resection of mandible	12	10	1051.4
S006	Lesion - over 4 cms	7	6	439.8
	E542 - when performed outside hospital - add			11.8
S007	Extended composite resection of lesion of oral cavity and oropharynx with partial resection of mandible and resection of maxilla	12	10	1080.75
S018	Glossectomy - partial	8	6	201.4
S020	Glossoplasty	6	6	201.4
S023	Extraction of tooth (complete care) - single	6		25.4
	E700 - each additional tooth - add			13.65
S024	Excision of torus palatinus	6	6	201.4
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S028	Dentigerous cyst	6	6	100.8
S030	Closure of fistula - anterior alveolar	6	6	201.4
S031	Palatal fenestration	6		201.5
S032	Bone graft to palate	8	6	342.4
S033	Closure of fistula - palate	8	6	287.6
S034	Cleft palate repair	8	6	376.65
S035	Removal of sutures under general anaesthesia	6		42.1
S036	Uvulopalatopharyngoplasty (includes tonsillectomy)	6		244.55
S050	Cryotherapy for treatment of premalignant or malignant lesions of oral cavity or sinuses	6		151.6
S058	Branchial - cleft lesion	7	6	313
S059	Branchial - repeat procedure	6	6	444.05
S061	Thyroglossal duct remnant	7	6	347
S062	Thyroglossal duct remnant - repeat procedure	6	6	418.65
S063	Tonsillectomy and may include adenoidectomy	6		181.95
	E839 - with flexible endoscope - add			19.6
S065	Adenoidectomy	6		103.3
	E839 - with flexible endoscope - add			19.6
S066	Secondary suture or cauterization following tonsillectomy and/or adenoidectomy - when haemorrhage occurs after initial procedure	6		123.5
S067	Partial pharyngectomy transthyroid or lateral	11	8	1037.65
S068	Pharyngolaryngectomy	14	8	1178.65
	E882 - with thyroid lobectomy - add			180.95

	E884 - with total thyroidectomy - add			381.5
S069	Pharyngoplasty	8	8	367.7
S900	Basic units for anaesthesia with any unlisted dental surgical procedure performed by dental or oral surgeon	8
Z111	Tongue tie, release of - simple	0		15.65
Z112	Tongue tie, release of - complex or requiring general anaesthetic	6		51.9
Z501	Biopsy	0		36.2
	E542 - when performed outside hospital - add			11.8
Z502	Lesion - less than 2 cms	6	6	72.45
Z506	Drainage of oral abscess or haematoma	6		51.9
Z510	Drainage of pharyngeal abscess or haematoma	6		92.95
Z524	Drainage of haematoma or deep neck abscess (external approach)	7	6	276.5
Z537	Biopsy - requiring general anaesthetic	6		99

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