OHIP Billing Codes
Specialty: Stomach
Code | Description | Fee | ||
---|---|---|---|---|
|
||||
S113 | Removal of gastric band | 306.05 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S114 | Sleeve gastrectomy | 836.5 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S115 | Reversal of previous vertical banded gastroplasty | 836.5 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S116 | Gastrotomy - with removal of tumour or foreign body | 415.05 | ||
E731
Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add
|
252 | |||
S117 | Gastrotomy - Pyloromyotomy (Ramstedt's) | 547.7 | ||
S118 | Gastrostomy | 477.25 | ||
E707
- when done with another intraabdominal procedure
|
72.2 | |||
S120 | Gastric bypass with Roux-en-Y anastomosis, for morbid obesity | 1377.15 | ||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S121 | Transabdominal vagotomy after previous vagotomy | 424.85 | ||
S122 | Wedge resection for ulcer | 530.45 | ||
E708
- with vagotomy - add
|
124.5 | |||
E713
- after previous partial gastrectomy - add
|
140.3 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S123 | Partial or subtotal - distal | 856.9 | ||
E706
- with choledochotomy - add
|
124.5 | |||
E708
- with vagotomy - add
|
124.5 | |||
E709
- with cholecystectomy - add
|
124.5 | |||
E711
- after previous gastroenterostomy - add
|
108.7 | |||
E712
- after previous vagotomy and pyloroplasty - add
|
113.35 | |||
E713
- after previous partial gastrectomy - add
|
140.3 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
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S124 | Vagotomy - highly selective (as sole procedure without pyloroplasty or gastroenterostomy) | 513.2 | ||
S125 | Partial or subtotal - proximal | 918.1 | ||
E706
- with choledochotomy - add
|
124.5 | |||
E708
- with vagotomy - add
|
124.5 | |||
E709
- with cholecystectomy - add
|
124.5 | |||
E711
- after previous gastroenterostomy - add
|
108.7 | |||
E712
- after previous vagotomy and pyloroplasty - add
|
113.35 | |||
E713
- after previous partial gastrectomy - add
|
140.3 | |||
E731
Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add
|
252 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
E847
- with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add
|
76.5 | |||
S128 | Total gastrectomy - with or without splenectomy | 1259.8 | ||
E706
- with choledochotomy - add
|
124.5 | |||
E709
- with cholecystectomy - add
|
124.5 | |||
E711
- after previous gastroenterostomy - add
|
108.7 | |||
E713
- after previous partial gastrectomy - add
|
140.3 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
E847
- with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add
|
76.5 | |||
S129 | Conversion of previous gastrectomy to Roux-en-y | 928.3 | ||
E706
- with choledochotomy - add
|
124.5 | |||
E709
- with cholecystectomy - add
|
124.5 | |||
E711
- after previous gastroenterostomy - add
|
108.7 | |||
E713
- after previous partial gastrectomy - add
|
140.3 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
E847
- with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add
|
76.5 | |||
S131 | Vagotomy - truncal or selective | 383.35 | ||
S132 | Pyloroplasty | 415.05 | ||
S133 | Pyloroplasty and vagotomy | 539.5 | ||
E731
Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add
|
252 | |||
S134 | Gastroduodenostomy or gastrojejunostomy | 415.05 | ||
E716
- either of above plus vagotomy - add
|
150.25 | |||
E721
- with choledochotomy - add
|
124.5 | |||
E793
- laparoscopic or laparoscopic assisted - add 25%
|
||||
S137 | Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy | 692.55 | ||
E721
- with choledochotomy - add
|
124.5 | |||
E731
Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add
|
252 | |||
S138 | Closure of gastrostomy or other external fistula of stomach | 352.8 | ||
S139 | Gastrorrhaphy (for perforated gastric or duodenal ulcer or wound) | 686.25 | ||
S140 | Closure of gastrocolic fistula | 585.95 | ||
Z526 | Biopsy - incisional - by gastrostomy | 75.1 | ||
Z527 | Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm | 84.55 | ||
E674
- with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add
|
145.25 | |||
E675
- with snare polypectomy each additional polyp > 1 cm (maximum 2) - add
|
75 | |||
|
||||
Z528 | Gastroscopy - subsequent (within three months following previous gastroscopy) | 69.2 | ||
E674
- with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add
|
145.25 | |||
E675
- with snare polypectomy each additional polyp > 1 cm (maximum 2) - add
|
75 | |||
|
||||
Z532 | Percutaneous endoscopic gastrostomy | 176.45 | ||
Z533 | Biopsy - incisional - by intubation | 37.55 | ||
Z547 | Gastroscopy - with removal of foreign body | 101.75 | ||
E674
- with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add
|
145.25 | |||
E675
- with snare polypectomy each additional polyp > 1 cm (maximum 2) - add
|
75 | |||
|
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OHIP Billing Codes
-
- Family Practice & Practice In General (00)
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- Neurology (18)
- Gastroenterology (41)
- Internal And Occupational Medicine (13)
- Endocrinology & Metabolism (15)
- Nephrology (16)
- Vascular Surgery (17)
- Psychiatry (19)
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- Otolaryngology (24)
- Paediatrics (26)
- Infectious Disease (46)
- Laboratory Medicine (28)
- Physical Medicine & Rehabilitation (31)
- Diagnostic Radiology (33)
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- Rheumatology (48)
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- Cardiology (60)
- Hematology (61)
- Nuclear Medicine (63)
- General Thoracic Surgery (64)
- Family Practice And Practice In General (00)
- Emergency Medicine
- Internal And Ocucpational Medicine (13)
- Infection Disease (46)
-
- Head And Neck
- Spine And Pelvis
- Chest And Abdomen
- Upper Extremities
- Skeletal Surveys
- Lower Extremities
- Gastrointestinal Tract
- Special Examinations
- Computed Tomography (CT)
- Genitourinary Tract
- Bone Mineral Density (BMD) Measurement
- Obstetrics And Gynaecology
- Miscellaneous Examinations
- Fluoroscopy - By Physician With Or Without Spot Films
-
- Laboratory Medicine
- Nerve Blocks For Acute Pain Management
- Injections And Infusions
- Dialysis
- Haematology
- Home And Self Care Services
- Ophthalmology
- Otolaryngology
- Electrocardiography (ECG)
- Cardiovascular
- Nerve Blocks - Interventional Pain Injections
- Non-Invasive Cardiography
- Neurology
- Gastroenterology
- Allergy
- Urology
- Critical Care
- Nerve Blocks - Peripheral / Other Injections
- Gynaecology
- Endocrinology And Metabolism
- Nephrology
- Psychiatry And Respiratory Disease
- Physical Medicine
- Dermatology
- Palliative Care
- Echocardiography
- Neurosurgery
- Sleep Studies
- Anaesthesia
-
- Special Visit Premiums
- Anaesthesiologists' Services
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Assessments
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Temporary COVID-19 Service
- Emergency Department Sessional Fees
- Emergency Department By Emergency Department Physician
- General Information
- Special Visit Premiums - Long-Term Care Institution
-
- Fractures Of The Spine
- Anterior Spinal Decompression
- Posterior Spinal Decompression
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Arthrodesis As Sole Procedure
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Procedures Involving Neural Elements
- Anterior Spinal Arthrodesis Following Decompression
- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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