OHIP Billing Codes

Specialty: Hand And Wrist

Code Description Fee
D001 Fractures - Dislocations - Finger - closed reduction 58.65
D003 Fractures - Dislocations - Finger - open reduction 200.45
D004 Fractures - Dislocations - Metacarpal/phalangeal - closed reduction 58.65
D006 Fractures - Dislocations - Metacarpal/phalangeal - open reduction 185.5
D007 Fractures - Carpal - closed reduction 130.6
D008 Fractures - Carpal - open reduction 246.15
F004 Fractures - Phalanx - no reduction, rigid immobilization 50.2
F005 Fractures - Phalanx - closed reduction 101.25
F006 Fractures - Intra-articular - closed reduction 122.15
F007 Fractures - Phalanx - open reduction 304.45

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F008 Fractures - Metacarpal - no reduction, one or more, rigid immobilization 50.2
F009 Fractures - Metacarpal - closed reduction 101.25
F010 Fractures - Intra-articular - open reduction 342.55
F011 Fractures - Metacarpal - open reduction 267.9
F012 Fractures - Bennett's - no reduction, rigid immobilization 50.2
F013 Fractures - Bennett's - closed reduction 122.2
F015 Fractures - Bennett's - open reduction 342.55
F016 Fractures - Carpus - closed reduction, one or more 117.4
F017 Fractures - Carpus - open reduction, one or more 353.1
F018 Fractures - Scaphoid - no reduction, rigid immobilization 50.2
F019 Fractures - Scaphoid - open reduction 489.65
F020 Fractures - Scaphoid - excision 196.9
F102 Fractures - Carpus - no reduction, rigid immobilization 50.2
R209 Basal thumb first carpometacarpal joint 370.35
R217 Phalanx/metacarpal/carpus - saucerization and bone graft 247.1
R218 Phalanx/metacarpal/carpus - sequestrectomy 147.7
R219 Phalanx/metacarpal/carpus - incision and drainage 186.6
R236 Carpal replacement 328.5
R257 Bone - Deformity - Osteotomy phalanx - terminal 165.9
R258 Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal 197.1
R283 Bone - Phalanx/metacarpal 196.9
R285 Bone - Carpal bone (one) 218.75
R286 Bone - Radial styloid 239.45
R316 Bone - Proximal row carpectomy 345.55
R317 Bone - Dorsal exostosis (triquetrum) 193.55
R321 Bone - Pseudoarthrosis/non-union/avascular necrosis - Phalanx, metacarpal 266
R322 Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid 600
R345 Bone - Pseudoarthrosis/non-union/avascular necrosis - Carpal bone, other than scaphoid 266
R407 Joint - Synovectomy of extensor or flexor tendons 228.95
R409 Finger 171.4
R410 Wrist 216.75
R414 Joint - Synovectomy/capsulectomy/debridement - two or more joints 346.5
R418 Joint - Synovectomy/debridement wrist 349.45
R425 Joint - Synovectomy/capsulectomy/debridement - finger joint 230.95
R435 Hand - interposition - single 259.45
R436 Hand - interposition - multiple 468.65
R437 Wrist - interposition 381.5
R465 Finger-thumb 327.75
R466 Wrist 471.05
R479 Wrist - removal only 196.9
R485 Wrist - total 681.15
R489 Single joint total (arthrodesis and/or arthroplasties) maximum of 4 296.4
R492 Joint - Radioulnar meniscectomy 235.75
R500 Removal only 147.7
R522 Muscle - simple 196.9
R523 Muscle - complex 494.1
R534 Phalanx/metacarpal/carpus - Tendon sheath 229.5
R536 Tendon release (open) - finger/palm 159.65
R537 Tendon release (open) - Wrist 178.5
R541 Flexor tenolysis with pulley preservation 315.2
R548 Ligaments - Extensive/multiple repair wrist 521.75
R549 Soft tissue - Ganglion Simple or complex 181.35
R551 Soft tissue - Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps 328.65
R554 Tendon - Silicone rod insertion - one 300.1
R557 Tendon - Tenoplasty - one 228.15
R559 Tendon - Tendon graft - one 312.45
R563 Tendon - Transplant/transfer - single 290.7
R573 Tendon - Mallet finger - open 150.15
R574 Tendon - Mallet finger - K-wire 136.65
R575 Tendon - Tenolysis flexor and/or extensor tendon of - one digit 197.95
R577 Tendon - Boutonniere - open 150.25
R578 Tendon - Tendon repair extensor - single 167.4
R582 Tendon - Boutonniere - late 251.6
R585 Tendon - Flexor - single 313.8
R586 Tendon - Tendon graft - Reconstruction of flexor tendon pulley, per finger 99.3
R592 Tumours - Soft tissues - deep 494.1
R597 Ligaments - Simple/single repair wrist 307.65
R601 Ligaments - Metacarpal phalangeal repair 323.1
R602 Extremities - Pollicization 608.35
R603 Extremities - Digital reimplantation involving microvascular and neuro anastomosis 1618.1
R606 Phalanx 164.7
R608 Metacarpal or metaphalangeal joint 194
R610 Trans. metacarpal 2nd to 5th ray 284.95
R611 Hand all 'metacarpals 295.3
R612 Wrist 295.3
R629 Revision of amputated finger tip 246.4
R682 Wrist arthroscopy setup 408.05
Z214 Bone - open biopsy or taking of bone graft by other than operating surgeon 147.7
Z219 Muscle needle biopsy, soft tissue, per site 31.85
Z221 Joint - needle 50.2
Z222 Manipulation under general anaesthetic 24.6
Z228 Soft tissue - open 99.3
Z230 Bone - punch, xray control 91.5
Z231 Tenotomy or fasciotomy (closed) - Finger - three or more 75.2
Z247 Tenotomy or fasciotomy (closed) - Finger - one 50.2
Z248 Tenotomy or fasciotomy (closed) - Finger - two 73.8
Z249 Tenotomy or fasciotomy (closed) - Finger - three or more 101.15
Z290 Aspiration/injection-hip infant 65.25

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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