OHIP Billing Codes

Specialty: Rectum

Code Description Fee
S149 Enterotomy - Ileostomy 470.65
S150 Enterotomy - Small intestine including excision of polyps or biopsy 406.85
S151 Enterotomy - Insertion of feeding enterostomy 356.5
S154 Enterotomy - Large intestine including excision of polyps 406.85
S155 Enterotomy - Colonoscopy with laparotomy 387.4
S156 Enterotomy - Exteriorization of intestine (Mickulicz) 406.85
S157 Enterotomy - Colostomy 470.65
S158 Enterotomy - Cecostomy 387.4
S160 Enterotomy - Enteroenterostomy 470.65
S162 Local excision of lesion of intestine 528.85

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S164 Resection with anastomosis - Small intestine - duodenum 1015.15
S165 Resection with anastomosis - Small intestine - other 741.45
S166 Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy) 899.85
S167 Resection with anastomosis - Large intestine any portion 877.95
S168 Ileostomy - subtotal colectomy 1260.4
S169 Resection with anastomosis - Total colectomy with ileorectal anastomosis 1313.65
S170 Ileostomy - plus total colectomy plus abdominoperineal resection 2183.65
S171 Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure) 1128.1
S172 Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy 2247.7
S173 Ileostomy - Two-surgeon team - abdominal 1812
S174 Ileostomy - Two-surgeon team - perineal 533.8
S175 Intestinal obstruction (mechanical) - One stage - without resection 712.35
S176 Intestinal obstruction (mechanical) - One stage - with entero-enterostomy 894.85
S177 Intestinal obstruction (mechanical) - One stage - with resection 1055.25
S178 Intestinal obstruction (mechanical) - Intestinal atresia (newborn) 1512.75
S179 Intestinal obstruction (mechanical) - Meconium ileus 1512.75
S180 Intestinal obstruction (mechanical) - One stage - with enterotomy 824.8
S181 Revision of ileostomy or colostomy - skin level 131.75
S182 Revision of ileostomy or colostomy - full thickness 467.9
S183 Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure) 314.8
S184 Suture of intestine 314.8
S185 Closure of colostomy or enterostomy with or without resection and/or anastomosis 504.7
S187 Plication of small intestine for adhesions 528.85
S188 Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula) 770.55
S189 Ileostomy -Intestinal bypass for morbid obesity 951.2
S191 Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair 951.2
S192 Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch 387.4
S193 Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch 793.5
S213 Proctectomy - Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection) 1204.5
S214 Proctectomy - Abdominoperineal resection or pull through 1524.2
S215 Two surgeon team - abdominal surgeon 1107.5
S216 Two surgeon team - perineal surgeon 459.05
S217 Hartmann procedure 1063.6
S218 Colon reconstruction following Hartmann procedure 1086.75
S222 Presacral or transsacral proctotomy and excision of lesion 474.35
S223 Anastomosis of rectum 488.2
S225 Rectal prolapse - excision of mucous membrane 239.2
S226 Rectal prolapse - perineal repair major 356.5
S227 Rectal prolapse - abdominal approach 688.75
S228 Rectal prolapse - insertion of Thiersh wire 190.85
S229 Suture of rectum, traumaexternal approach 355.45
S231 Closure of fistula - rectovaginal (any repair) 338.55
S241 Sphincterotomy(ies) under local anaesthesia 88.2
S243 Sphincterotomy(ies) under general anaesthesia 200
S247 Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation 260.15
S248 Peter Lord procedure 43.6
S249 Local excision for malignancy 291.05
S251 Fistulainano 213.15
S253 Low imperforate anus repair 1224
S256 Excision of scar, for stenosis 142.4
S257 Anoplasty, for stenosis 275.05
S258 Repair of anal sphincter 275.05
S259 Repair of anal sphincter and ano-rectal ring 356.5
S260 High imperforate anus repair (supralevator) 1801
S525 Closure of fistula - rectovesical 446.9
Z491 Follow up of incomplete polyp resection 51.95
Z492 Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending 51.95
Z493 Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending 51.95
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 51.95
Z495 Follow up of unsatisfactory colonoscopy 51.95
Z496 Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon 51.95
Z497 Confirmatory colonoscopy - sigmoid to descending colon 51.95
Z498 Follow up of abnormal colonoscopy sigmoid to descending colon 51.95
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 51.95
Z512 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy 36.8
Z513 Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope 107.5
Z514 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy 44.55
Z516 Excision of first polyp (20 mm to 29 mm) 150.15
Z517 Excision of first polyp (10 mm to 19 mm) 150.15
Z535 Sigmoidoscopy with or without anoscopy - with rigid scope 36.8
Z536 Sigmoidoscopy with or without anoscopy - with biopsy(ies) 44.55
Z538 Reduction of prolapse 25.25
Z539 Dilation of gastrostomy, enterostomy, colostomy, etc. 25.25
Z540 Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy 79.8
Z541 Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure) 58.15
Z543 Anoscopy (proctoscopy) 8.7
Z544 Biopsy 34.9
Z545 Thrombosed haemorrhoid(s) 25.25
Z546 Barron ligation(s) (not to exceed 6 in any one year) 34.6
Z548 Cauterization of fissure 34.9
Z549 Fulguration of condylomata - local anaesthetic 30.95
Z550 Dilation of anal sphincter 12.05
Z555 Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon 51.95
Z560 Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months) 92.1
Z565 Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation 99.6
Z566 Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year) 39.1
Z571 Excision of first polyp greater than or equal to 3mm through colonoscope 150.15
Z575 Haemorrhoid injections (to a maximum of 6 per year) 27.05
Z576 Injections for anal fissure 35.9
Z580 Sigmoidoscopy (using 60 cm. flexible endoscope) 57.7
Z592 Sigmoidoscopy with or without anoscopy - with decompression of volvulus 49.4
Z749 Subsequent procedure (within three months following previous endoscopic procedure) 72.55
Z750 Resection of exteriorized intestine 82.35
Z752 Biopsy of rectosigmoid or above for Hirschsprungs disease 82.35
Z753 Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm 24.25
Z754 Polyps or tumours of rectum or sigmoid * - excision base under 2 cm 82.35
Z755 Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive 142.4
Z756 Fecal disimpaction no anaesthetic 36.8
Z757 Excision of benign anal lesion(s) 47.15
Z758 Fulguration of condylomata - general anaesthetic 97.65
Z761 Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm 219.9
Z764 Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm 69.8
Z765 Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater 131.75
Z784 Polyps or tumours of rectum or sigmoid * - excision and suture base 2 to 5 cm, inclusive 213.5
Z785 Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm 582.95

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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