OHIP Billing Codes
Specialty: Elbow And Forearm
| Code | Description | Fee | ||
|---|---|---|---|---|
|
|
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| 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 | ||
|
E584
- application of plaster cast outside hospital - add
|
11.35 | |||
| 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 | ||
|
E584
- application of plaster cast outside hospital - add
|
11.35 | |||
| 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 | ||
|
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
|
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
| N190 | Exploration and/or decompression and/or neurolysis of ulnar nerve (elbow) | 219.7 | ||
|
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
|
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
| R228 | Acute | 308.65 | ||
| R229 | Saucerization and bone grafting | 462 | ||
| R231 | Sequestrectomy | 362.5 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| 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 | ||
|
E564
- revision of arthroplasty - add 35%
|
||||
| R287 | Bone - Radial head | 222.35 | ||
| R288 | Implant radial head | 256.6 | ||
|
E564
- revision of arthroplasty - add 35%
|
||||
| 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 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| 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 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| 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 | ||
|
E564
- revision of arthroplasty - add 35%
|
||||
| R495 | Fasciotomy for compartment syndrome (not including secondary closure wound) . | 326.65 | ||
| R499 | Removal of total replacement | 410.85 | ||
|
E564
- revision of arthroplasty - add 35%
|
||||
| R510 | Interposition arthroplasty | 443.95 | ||
|
E564
- revision of arthroplasty - add 35%
|
||||
| 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 | ||
|
E478
- pinning of osteochondral fragment - add
|
256.6 | |||
|
E481
- osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add
|
510.05 | |||
|
E482
- soft tissue capsular release, for contractures, without bone procedure - add
|
256.6 | |||
|
E483
- synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add
|
333.1 | |||
| R950 | Bone - Pseudoarthrosis - Radius and ulna circular external fixation | 297.25 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| 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.
OHIP Billing Codes
-
- Family Practice & Practice In General (00)
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- Laboratory Medicine (28)
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- Urology (35)
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- Rheumatology (48)
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- Cardiology (60)
- Hematology (61)
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- 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
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- 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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