OHIP Billing Codes

Specialty: Rectum

Code Description Fee
S149 Enterotomy - Ileostomy 480.1
S150 Enterotomy - Small intestine including excision of polyps or biopsy 415.05
S151 Enterotomy - Insertion of feeding enterostomy 363.65
S154 Enterotomy - Large intestine including excision of polyps 415.05
S155 Enterotomy - Colonoscopy with laparotomy 395.2
S156 Enterotomy - Exteriorization of intestine (Mickulicz) 415.05
S157 Enterotomy - Colostomy 480.1
S158 Enterotomy - Cecostomy 395.2
S160 Enterotomy - Enteroenterostomy 480.1
S162 Local excision of lesion of intestine 539.5

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S164 Resection with anastomosis - Small intestine - duodenum 1035.55
S165 Resection with anastomosis - Small intestine - other 756.35
S166 Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy) 917.95
S167 Resection with anastomosis - Large intestine any portion 895.6
S168 Ileostomy - subtotal colectomy 1285.75
S169 Resection with anastomosis - Total colectomy with ileorectal anastomosis 1340.05
S170 Ileostomy - plus total colectomy plus abdominoperineal resection 2227.55
S171 Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure) 1150.75
S172 Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy 2292.9
S173 Ileostomy - Two-surgeon team - abdominal 1848.4
S174 Ileostomy - Two-surgeon team - perineal 544.55
S175 Intestinal obstruction (mechanical) - One stage - without resection 726.65
S176 Intestinal obstruction (mechanical) - One stage - with entero-enterostomy 912.85
S177 Intestinal obstruction (mechanical) - One stage - with resection 1076.45
S178 Intestinal obstruction (mechanical) - Intestinal atresia (newborn) 1543.15
S179 Intestinal obstruction (mechanical) - Meconium ileus 1543.15
S180 Intestinal obstruction (mechanical) - One stage - with enterotomy 841.4
S181 Revision of ileostomy or colostomy - skin level 134.4
S182 Revision of ileostomy or colostomy - full thickness 477.3
S183 Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure) 321.15
S184 Suture of intestine 321.15
S185 Closure of colostomy or enterostomy with or without resection and/or anastomosis 514.85
S187 Plication of small intestine for adhesions 539.5
S188 Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula) 786.05
S189 Ileostomy -Intestinal bypass for morbid obesity 970.3
S191 Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair 970.3
S192 Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch 395.2
S193 Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch 809.45
S213 Proctectomy - Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection) 1228.7
S214 Proctectomy - Abdominoperineal resection or pull through 1554.85
S215 Two surgeon team - abdominal surgeon 1129.75
S216 Two surgeon team - perineal surgeon 468.3
S217 Hartmann procedure 1085
S218 Colon reconstruction following Hartmann procedure 1108.6
S222 Presacral or transsacral proctotomy and excision of lesion 483.9
S223 Anastomosis of rectum 498
S225 Rectal prolapse - excision of mucous membrane 244
S226 Rectal prolapse - perineal repair major 363.65
S227 Rectal prolapse - abdominal approach 702.6
S228 Rectal prolapse - insertion of Thiersh wire 194.7
S229 Suture of rectum, traumaexternal approach 362.6
S231 Closure of fistula - rectovaginal (any repair) 345.35
S241 Sphincterotomy(ies) under local anaesthesia 89.95
S243 Sphincterotomy(ies) under general anaesthesia 204
S247 Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation 265.4
S248 Peter Lord procedure 44.5
S249 Local excision for malignancy 296.9
S251 Fistulainano 217.45
S253 Low imperforate anus repair 1248.6
S256 Excision of scar, for stenosis 145.25
S257 Anoplasty, for stenosis 280.6
S258 Repair of anal sphincter 280.6
S259 Repair of anal sphincter and ano-rectal ring 363.65
S260 High imperforate anus repair (supralevator) 1837.2
S525 Closure of fistula - rectovesical 455.9
Z491 Follow up of incomplete polyp resection 53
Z492 Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending 53
Z493 Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending 53
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 53
Z495 Follow up of unsatisfactory colonoscopy 53
Z496 Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon 53
Z497 Confirmatory colonoscopy - sigmoid to descending colon 53
Z498 Follow up of abnormal colonoscopy sigmoid to descending colon 53
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 53
Z512 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy 37.55
Z513 Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope 109.65
Z514 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy 45.45
Z535 Sigmoidoscopy with or without anoscopy - with rigid scope 37.55
Z536 Sigmoidoscopy with or without anoscopy - with biopsy(ies) 45.45
Z538 Reduction of prolapse 25.75
Z539 Dilation of gastrostomy, enterostomy, colostomy, etc. 25.75
Z540 Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy 81.4
Z541 Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure) 59.3
Z543 Anoscopy (proctoscopy) 8.85
Z544 Biopsy 35.6
Z545 Thrombosed haemorrhoid(s) 25.75
Z546 Barron ligation(s) (not to exceed 6 in any one year) 35.3
Z548 Cauterization of fissure 35.6
Z549 Fulguration of condylomata - local anaesthetic 31.55
Z550 Dilation of anal sphincter 12.3
Z555 Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon 53
Z560 Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months) 93.95
Z565 Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation 101.6
Z566 Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year) 39.9
Z571 Excision of first polyp greater than or equal to 3mm through colonoscope 153.15
Z575 Haemorrhoid injections (to a maximum of 6 per year) 27.6
Z576 Injections for anal fissure 36.6
Z580 Sigmoidoscopy (using 60 cm. flexible endoscope) 58.85
Z592 Sigmoidoscopy with or without anoscopy - with decompression of volvulus 50.4
Z749 Subsequent procedure (within three months following previous endoscopic procedure) 74
Z750 Resection of exteriorized intestine 84
Z752 Biopsy of rectosigmoid or above for Hirschsprungs disease 84
Z753 Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm 24.75
Z754 Polyps or tumours of rectum or sigmoid * - excision base under 2 cm 84
Z755 Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive 145.25
Z756 Fecal disimpaction no anaesthetic 37.55
Z757 Excision of benign anal lesion(s) 48.1
Z758 Fulguration of condylomata - general anaesthetic 99.6
Z761 Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm 224.3
Z764 Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm 71.2
Z765 Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater 134.4
Z784 Polyps or tumours of rectum or sigmoid * - excision and suture base 2 to 5 cm, inclusive 217.8
Z785 Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm 594.65

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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