OHIP Billing Codes

Specialty: Stomach

Code	Description	Anes	Asst	Fee
Search a description within this chart
S113	Removal of gastric band	10	7	306.05
	E793 - laparoscopic or laparoscopic assisted - add 25%
S114	Sleeve gastrectomy	10	7	836.5
	E793 - laparoscopic or laparoscopic assisted - add 25%
S115	Reversal of previous vertical banded gastroplasty	10	7	836.5
	E793 - laparoscopic or laparoscopic assisted - add 25%
S116	Gastrotomy - with removal of tumour or foreign body	7	6	415.05
	E731 Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add			252
S117	Gastrotomy - Pyloromyotomy (Ramstedt's)	10	6	547.7
S118	Gastrostomy	7	6	477.25
	E707 - when done with another intraabdominal procedure			72.2
S120	Gastric bypass with Roux-en-Y anastomosis, for morbid obesity	10	7	1377.15
	E793 - laparoscopic or laparoscopic assisted - add 25%
S121	Transabdominal vagotomy after previous vagotomy	8	7	424.85
S122	Wedge resection for ulcer	7	7	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	8	7	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)	7	7	513.2
S125	Partial or subtotal - proximal	8	7	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	9	7	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	9	7	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	7	7	383.35
S132	Pyloroplasty	7	7	415.05
S133	Pyloroplasty and vagotomy	7	7	539.5
	E731 Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add			252
S134	Gastroduodenostomy or gastrojejunostomy	7	7	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	8	7	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	7	6	352.8
S139	Gastrorrhaphy (for perforated gastric or duodenal ulcer or wound)	7	6	686.25
S140	Closure of gastrocolic fistula	7	7	585.95
Z526	Biopsy - incisional - by gastrostomy	0		75.1
Z527	Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm	4		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)	4		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	7	6	176.45
Z533	Biopsy - incisional - by intubation	0		37.55
Z547	Gastroscopy - with removal of foreign body	4		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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