OHIP Billing Codes
Specialty: Operations Of The Breast
Code | Description | Fee | ||
---|---|---|---|---|
|
||||
R107 | Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) | 173.35 | ||
E525
- after localization with mammographic wire or radioactive seeds - add
|
49 | |||
R108 | Mastectomy - female (with or without biopsy) - simple | 336.65 | ||
E505
- with limited axillary node sampling - add
|
181.65 | |||
R109 | Mastectomy, radical or modified radical (with or without biopsy) | 698.75 | ||
R110 | Reduction mammoplasty and augmentation mammoplasty (other than post-mastectomy breast reconstruction) - Reduction mammoplasty (female, to include nipple transplantation or grafting, if rendered) unilateral | 481.65 | ||
R111 | Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease | 274.8 | ||
E505
- with limited axillary node sampling - add
|
181.65 | |||
E525
- after localization with mammographic wire or radioactive seeds - add
|
49 | |||
E546
- with axillary node dissection up to the level of the axillary vein - add
|
396.55 | |||
R112 | Augmentation mammoplasty unilateral | 357.05 | ||
R114 | Revision of breast mound | 234.95 | ||
R117 | Mastectomy - female (with or without biopsy) - subcutaneous with nipple preservation | 279.45 | ||
E505
- with limited axillary node sampling - add
|
181.65 | |||
R118 | Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps | 413.75 | ||
E513
- Breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction - add
|
303.5 | |||
E529
- with breast mound creation by prosthesis - add
|
104.5 | |||
R119 | Post-mastectomy breast reconstruction - Breast mound creation by prosthesis as sole procedure | 357.05 | ||
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R120 | Nippleareola reconstruction by grafts and/or flaps | 306.05 | ||
R142 | Nippleareola tattooing unilateral | 178.5 | ||
R143 | Contralateral balancing mastopexy or reduction, to include nipple transplantation or grafting, if rendered | 481.65 | ||
R144 | Contralateral balancing augmentation mammoplasty | 357.05 | ||
R146 | Mastectomy - male (benign) - simple | 181.05 | ||
R147 | Mastectomy - male (benign) - subcutaneous with nipple preservation | 279.45 | ||
R148 | Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - simple | 279.45 | ||
E505
- with limited axillary node sampling - add
|
181.65 | |||
R149 | Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - subcutaneous with nipple preservation | 279.45 | ||
E505
- with limited axillary node sampling - add
|
181.65 | |||
R156 | Breast mound creation by insertion of tissue expander, includes creation of submuscular pocket | 433.55 | ||
E514
- Immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 - add
|
204 | |||
R505 | Ankle - Metatarsal/phalangeal | 147.7 | ||
Z135 | Open capsulotomy with or without replacement of breast prosthesis | 199.9 | ||
Z139 | Aspiration of cyst - one or more | 37.95 | ||
Z140 | Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic | 33.65 | ||
Z141 | Needle biopsy - one or more | 37.95 | ||
E542
- when performed outside hospital - add
|
11.8 | |||
Z142 | Removal of breast prosthesis | 153 | ||
Z143 | Needle biopsy - large core breast biopsy (14 gauge or larger bore needle) | 135.4 | ||
Z182 | Breast capsulectomy | 260.2 | ||
Z740 | Drainage of intramammary abscess or haematoma - Single or multiloculated generalanaesthetic | 136.5 |
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.
OHIP Billing Codes
-
- Family Practice & Practice In General (00)
- Anaesthesia (01)
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- Community Medicine (05)
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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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- Genetics (22)
- Ophthalmology (23)
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- Paediatrics (26)
- Infectious Disease (46)
- Laboratory Medicine (28)
- Physical Medicine & Rehabilitation (31)
- Diagnostic Radiology (33)
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- Urology (35)
- Medical Oncology (44)
- Respiratory Disease (47)
- Rheumatology (48)
- Clinical Immunology (62)
- 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)
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- 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
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- 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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