OHIP Billing Codes

Specialty: Elbow And Forearm

Code Description Fee
D009 Dislocations - Elbow joint - closed reduction 86.15
D010 Dislocations - Elbow joint - open reduction acute 257.5
D011 Dislocations - Radial head - open reduction - acute 196.9
D012 Dislocations - Radial head - closed reduction, pulled elbow 39.8
F014 Fractures - Radius and ulna Monteggia - no reduction, rigid immobilization 69.1
F021 Fractures - Osteochondral - open reduction 400.3
F022 Fractures - Radius and ulna Monteggia - closed reduction 147.7
F023 Fractures - Radius and ulna Monteggia - open reduction of ulna plus closed reduction radial head 425
F024 Fractures - Radius and ulnar shaft - no reduction, rigid immobilization 69.1
F025 Fractures - Radius and ulnar shaft - closed reduction 151.5

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F026 Fractures - Radius and ulnar shaft - open reduction 539.15
F027 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - no reduction, rigid immobilization 69.1
F028 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under local or regional anaesthetic 111.65
F029 Fractures - Epicondyle - no reduction 69.1
F030 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - open reduction 509.45
F031 Fractures - Radius or ulna - no reduction, rigid immobilization 82.95
F032 Fractures - Radius or ulna - closed reduction 120.2
F033 Fractures - Radius or ulna - open reduction 446.85
F034 Fractures - Olecranon - no reduction, rigid immobilization 128.8
F035 Fractures - Olecranon - closed reduction 131.6
F036 Fractures - Olecranon - open reduction 422.95
F037 Fractures - Epicondyle - closed reduction 128.8
F038 Fractures - Epicondyle - open reduction 218.75
F039 Fractures - Transcondylar/condylar - no reduction 69.1
F040 Fractures - Transcondylar/condylar - closed reduction 304.35
F041 Fractures - Transcondylar/condylar - open reduction 612.05
F045 Fractures - Transcondylar/condylar - closed reduction with traction 319
F046 Fractures - Radius distal, e.g. Colles', Smith's, or Barton's fracture - closed reduction, under general anaesthetic 152.35
N189 Ulnar nerve transposition at elbow may include exploration, decompression and/or neurolysis 284.85
N190 Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow) 219.7
R228 Acute 308.65
R229 Saucerization and bone grafting 462
R231 Sequestrectomy 362.5
R259 Bone - Deformity - Osteotomy - ulna 303.85
R261 Bone - Deformity - Osteotomy -radius with or without ulna 589.3
R281 Ulna replacement (lower end) 302.85
R287 Bone - Radial head 222.35
R288 Implant radial head 256.6
R290 Bone - Olecranon 212.1
R291 Bone - Olecranon with fascial repair 315.2
R293 Tumours - Bone tumours - extensive with replacement 691.1
R294 Tumours - Bone tumours - exostosis 168.5
R295 Tumours - Bone tumours - simple excision 295.3
R323 Bone - Pseudoarthrosis - Radius or ulna 310.5
R324 Bone - Deformity - Osteotomy - radius and/or ulna with reconstruction congenital abnormality, synostosis etc 406.1
R400 Dislocations - Elbow joint - repair chronic, recurrent 387.15
R421 Joint Contents - Synovectomy/capsulectomy/debridement, etc. 415.45
R426 Denervation - elbow 263.2
R432 Joint - open 174.9
R445 Elbow, loose body, etc 203.55
R473 Bone - Pseudoarthrosis - Radius and ulna 419.45
R476 Fascia - Repair fascial defects - small 147.7
R478 Fascia - Repair fascial defects - large with or without synthetic graft or rotation flap 296.4
R486 Complete arthroplasty replacement 929.35
R495 Fasciotomy for compartment syndrome (not including secondary closure wound) . 326.65
R499 Removal of total replacement 410.85
R510 Interposition arthroplasty 443.95
R519 Muscles and tendons - simple, e.g. tennis elbow 139.1
R521 Muscles and tendons - radical, e.g. muscle slide 320.9
R524 Muscles - Myositis ossificans 295.3
R540 Dislocations - Radial head - open reduction - recurrent 231.95
R556 Tenolysis - single 206.3
R558 Dislocations - Radial head - open reduction - late 364.4
R566 Muscles/Tendons - Tenotomy - open - multiple 258.4
R583 Transposition/transplantation/transfer - Steindler flexoplasty 351.8
R591 Tumours - Soft tissues - superficial 200
R595 Bursae - Olecranon 103.3
R613 Through radius and ulna 312.45
R614 Elbow disarticulation 295.3
R643 Bone - Ulna lower end 196.9
R683 Elbow arthroscopy setup, includes when rendered debridement, synovectomy, synovial biopsy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/or arthroscopic epicondylar release 408.05
R950 Bone - Pseudoarthrosis - Radius and ulna circular external fixation 297.25
R951 Bone - Deformity - Osteotomy - Single level correction circular external fixation 651.25
R952 Bone - Deformity - Osteotomy - Double level correction circular external fixation 814.15
R953 Bone - Deformity - Bone transport - circular external fixation (less than or equal to 6 cm) 668.3
R954 Bone - Deformity - Bone transport - circular external fixation (greater than 6 cm) 779.15
Z225 Bone - needle 73.8
Z226 Soft tissue or bursa, incision and drainage 99.3
Z251 Catheter - insertion 50.2

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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