OHIP Billing Codes
Specialty: Rectum
Code | Description | Fee | ||
---|---|---|---|---|
|
||||
S149 | Enterotomy - Ileostomy | 480.1 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S150 | Enterotomy - Small intestine including excision of polyps or biopsy | 415.05 | ||
S151 | Enterotomy - Insertion of feeding enterostomy | 363.65 | ||
E737
- when done with another intraabdominal procedure - add
|
84 | |||
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 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
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 | ||
E714
- repair of enterocutaneous fistula in conjunction with bowel resection - add
|
84 | |||
S165 | Resection with anastomosis - Small intestine - other | 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) | 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 | 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 | 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 | 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 | 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) | 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 | 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 | 1848.4 | ||
E738
- with continent ileostomy - add
|
395.2 | |||
S174 | Ileostomy - Two-surgeon team - perineal | 544.55 | ||
E738
- with continent ileostomy - add
|
395.2 | |||
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 | ||
E721
- with choledochotomy - add
|
124.5 | |||
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 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
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 | ||
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 | 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 | 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 | 468.3 | ||
S217 | Hartmann procedure | 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 | 1108.6 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
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 | ||
E792
- when performed laparoscopically - add 25%
|
||||
Z491 | Follow up of incomplete polyp resection | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | 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 | ||
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) | 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 | 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 | ||
E732
- with biopsy - add
|
29.7 | |||
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 | ||
E542
- when performed outside hospital - add
|
11.8 | |||
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 | ||
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) | 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 | 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 | ||
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) | 27.6 | ||
Z576 | Injections for anal fissure | 36.6 | ||
Z580 | Sigmoidoscopy (using 60 cm. flexible endoscope) | 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 | 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) | 74 | ||
E629
- endoscopic placement of stent in duodenum - add
|
139.8 | |||
Z750 | Resection of exteriorized intestine | 84 | ||
E714
- repair of enterocutaneous fistula in conjunction with bowel resection - add
|
84 | |||
Z752 | Biopsy of rectosigmoid or above for Hirschsprungs disease | 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 | 24.75 | ||
E688
- with laser debulking - add
|
71.2 | |||
Z754 | Polyps or tumours of rectum or sigmoid * - excision base under 2 cm | 84 | ||
E688
- with laser debulking - add
|
71.2 | |||
Z755 | Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive | 145.25 | ||
E688
- with laser debulking - add
|
71.2 | |||
Z756 | Fecal disimpaction no anaesthetic | 37.55 | ||
Z757 | Excision of benign anal lesion(s) | 48.1 | ||
E542
- when performed outside hospital - add
|
11.8 | |||
Z758 | Fulguration of condylomata - general anaesthetic | 99.6 | ||
Z761 | Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm | 224.3 | ||
E688
- with laser debulking - add
|
71.2 | |||
Z764 | Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm | 71.2 | ||
E687
- with laser debulking - add
|
71.2 | |||
Z765 | Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater | 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 | 217.8 | ||
E688
- with laser debulking - add
|
71.2 | |||
Z785 | Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm | 594.65 | ||
E688
- with laser debulking - add
|
71.2 |
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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- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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