OHIP Billing Codes

Specialty: Rectum

Code	Description	Anes	Asst	Fee
Search a description within this chart
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
S213	Proctectomy - Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection)	8	8	1228.7
	E718 - bowel resection following previous resection with anastomosis - add			145.25
	E793 - laparoscopic or laparoscopic assisted - add 25%
S214	Proctectomy - Abdominoperineal resection or pull through	10	8	1554.85
	E718 - bowel resection following previous resection with anastomosis - add			145.25
	E793 - laparoscopic or laparoscopic assisted - add 25%
S215	Two surgeon team - abdominal surgeon	10	8	1129.75
	E718 - bowel resection following previous resection with anastomosis - add			145.25
	E793 - laparoscopic or laparoscopic assisted - add 25%
S216	Two surgeon team - perineal surgeon	0		468.3
S217	Hartmann procedure	9	8	1085
	E718 - bowel resection following previous resection with anastomosis - add			145.25
	E793 - laparoscopic or laparoscopic assisted - add 25%
S218	Colon reconstruction following Hartmann procedure	8	8	1108.6
	E793 - laparoscopic or laparoscopic assisted - add 25%
S222	Presacral or transsacral proctotomy and excision of lesion	7	6	483.9
S223	Anastomosis of rectum	6	6	498
S225	Rectal prolapse - excision of mucous membrane	7	6	244
S226	Rectal prolapse - perineal repair major	6	6	363.65
S227	Rectal prolapse - abdominal approach	8	6	702.6
S228	Rectal prolapse - insertion of Thiersh wire	6	6	194.7
S229	Suture of rectum, traumaexternal approach	7	6	362.6
S231	Closure of fistula - rectovaginal (any repair)	7		345.35
S241	Sphincterotomy(ies) under local anaesthesia	0	6	89.95
S243	Sphincterotomy(ies) under general anaesthesia	6	6	204
S247	Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation	6	6	265.4
S248	Peter Lord procedure	6		44.5
S249	Local excision for malignancy	7	6	296.9
S251	Fistulainano	6	6	217.45
S253	Low imperforate anus repair	7	7	1248.6
S256	Excision of scar, for stenosis	6	6	145.25
S257	Anoplasty, for stenosis	6	6	280.6
S258	Repair of anal sphincter	7	6	280.6
S259	Repair of anal sphincter and ano-rectal ring	6	6	363.65
S260	High imperforate anus repair (supralevator)	7	7	1837.2
S525	Closure of fistula - rectovesical	7	6	455.9
	E792 - when performed laparoscopically - add 25%
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
Z535	Sigmoidoscopy with or without anoscopy - with rigid scope	4		37.55
	E746 - when performed outside hospital - add			5.95
	E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add			47.25
Z536	Sigmoidoscopy with or without anoscopy - with biopsy(ies)	4		45.45
	E641 - endoscopic placement of stent in rectum - add			139.8
	E746 - when performed outside hospital - add			5.95
	E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add			47.25
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
Z541	Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure)	6		59.3
Z543	Anoscopy (proctoscopy)	0		8.85
Z544	Biopsy	6		35.6
Z545	Thrombosed haemorrhoid(s)	6		25.75
	E542 - when performed outside hospital - add			11.8
Z546	Barron ligation(s) (not to exceed 6 in any one year)	0		35.3
Z548	Cauterization of fissure	6		35.6
Z549	Fulguration of condylomata - local anaesthetic	0		31.55
Z550	Dilation of anal sphincter	6		12.3
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
Z565	Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation	6		101.6
Z566	Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year)	0		39.9
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
Z575	Haemorrhoid injections (to a maximum of 6 per year)	0		27.6
Z576	Injections for anal fissure	6		36.6
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
Z592	Sigmoidoscopy with or without anoscopy - with decompression of volvulus	4		50.4
	E641 - endoscopic placement of stent in rectum - add			139.8
	E746 - when performed outside hospital - add			5.95
	E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add			47.25
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
Z752	Biopsy of rectosigmoid or above for Hirschsprungs disease	6	6	84
	E670 - following previous thoracotomy - add			229.2
	E671 - following previous sternotomy - add			554.55
Z753	Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm	7		24.75
	E688 - with laser debulking - add			71.2
Z754	Polyps or tumours of rectum or sigmoid * - excision base under 2 cm	6	6	84
	E688 - with laser debulking - add			71.2
Z755	Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive	6	6	145.25
	E688 - with laser debulking - add			71.2
Z756	Fecal disimpaction no anaesthetic	0		37.55
Z757	Excision of benign anal lesion(s)	6	6	48.1
	E542 - when performed outside hospital - add			11.8
Z758	Fulguration of condylomata - general anaesthetic	6	6	99.6
Z761	Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm	7	6	224.3
	E688 - with laser debulking - add			71.2
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
Z784	Polyps or tumours of rectum or sigmoid * - excision and suture base 2 to 5 cm, inclusive	6	6	217.8
	E688 - with laser debulking - add			71.2
Z785	Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm	7	6	594.65
	E688 - with laser debulking - add			71.2

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