OHIP Billing Codes

Specialty: Hand And Wrist

Code Description Fee
D001 Fractures - Dislocations - Finger - closed reduction 57.5
D003 Fractures - Dislocations - Finger - open reduction 196.5
D004 Fractures - Dislocations - Metacarpal/phalangeal - closed reduction 57.5
D006 Fractures - Dislocations - Metacarpal/phalangeal - open reduction 181.85
D007 Fractures - Carpal - closed reduction 128.05
D008 Fractures - Carpal - open reduction 241.3
F004 Fractures - Phalanx - no reduction, rigid immobilization 49.2
F005 Fractures - Phalanx - closed reduction 99.25
F006 Fractures - Intra-articular - closed reduction 119.75
F007 Fractures - Phalanx - open reduction 298.45

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F008 Fractures - Metacarpal - no reduction, one or more, rigid immobilization 49.2
F009 Fractures - Metacarpal - closed reduction 99.25
F010 Fractures - Intra-articular - open reduction 335.8
F011 Fractures - Metacarpal - open reduction 262.6
F012 Fractures - Bennett's - no reduction, rigid immobilization 49.2
F013 Fractures - Bennett's - closed reduction 119.8
F015 Fractures - Bennett's - open reduction 335.8
F016 Fractures - Carpus - closed reduction, one or more 115.1
F017 Fractures - Carpus - open reduction, one or more 346.15
F018 Fractures - Scaphoid - no reduction, rigid immobilization 49.2
F019 Fractures - Scaphoid - open reduction 480
F020 Fractures - Scaphoid - excision 193
F102 Fractures - Carpus - no reduction, rigid immobilization 49.2
R209 Basal thumb first carpometacarpal joint 363.05
R217 Phalanx/metacarpal/carpus - saucerization and bone graft 242.25
R218 Phalanx/metacarpal/carpus - sequestrectomy 144.8
R219 Phalanx/metacarpal/carpus - incision and drainage 182.9
R236 Carpal replacement 322.05
R257 Bone - Deformity - Osteotomy phalanx - terminal 162.65
R258 Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal 193.2
R283 Bone - Phalanx/metacarpal 193
R285 Bone - Carpal bone (one) 214.45
R286 Bone - Radial styloid 234.75
R316 Bone - Proximal row carpectomy 338.75
R317 Bone - Dorsal exostosis (triquetrum) 189.75
R321 Bone - Pseudoarthrosis/non-union/avascular necrosis - Phalanx, metacarpal 260.75
R322 Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid 588.2
R345 Bone - Pseudoarthrosis/non-union/avascular necrosis - Carpal bone, other than scaphoid 260.75
R407 Joint - Synovectomy of extensor or flexor tendons 224.45
R409 Finger 168
R410 Wrist 212.5
R414 Joint - Synovectomy/capsulectomy/debridement - two or more joints 339.65
R418 Joint - Synovectomy/debridement wrist 342.55
R425 Joint - Synovectomy/capsulectomy/debridement - finger joint 226.4
R435 Hand - interposition - single 254.35
R436 Hand - interposition - multiple 459.4
R437 Wrist - interposition 374
R465 Finger-thumb 321.3
R466 Wrist 714.7
R479 Wrist - removal only 193
R485 Wrist - total 679.95
R489 Single joint total (arthrodesis and/or arthroplasties) maximum of 4 290.55
R492 Joint - Radioulnar meniscectomy 231.1
R500 Removal only 144.8
R522 Muscle - simple 193
R523 Muscle - complex 484.35
R534 Phalanx/metacarpal/carpus - Tendon sheath 225
R536 Tendon release (open) - finger/palm 156.5
R537 Tendon release (open) - Wrist 175
R541 Flexor tenolysis with pulley preservation 309
R548 Ligaments - Extensive/multiple repair wrist 511.45
R549 Soft tissue - Ganglion Simple or complex 177.8
R551 Soft tissue - Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps 322.15
R554 Tendon - Silicone rod insertion - one 294.2
R557 Tendon - Tenoplasty - one 223.65
R559 Tendon - Tendon graft - one 306.3
R563 Tendon - Transplant/transfer - single 284.95
R573 Tendon - Mallet finger - open 147.2
R574 Tendon - Mallet finger - K-wire 133.95
R575 Tendon - Tenolysis flexor and/or extensor tendon of - one digit 194.05
R577 Tendon - Boutonniere - open 147.3
R578 Tendon - Tendon repair extensor - single 164.1
R582 Tendon - Boutonniere - late 246.65
R585 Tendon - Flexor - single 307.6
R586 Tendon - Tendon graft - Reconstruction of flexor tendon pulley, per finger 97.35
R592 Tumours - Soft tissues - deep 484.35
R597 Ligaments - Simple/single repair wrist 301.6
R601 Ligaments - Metacarpal phalangeal repair 316.75
R602 Extremities - Pollicization 596.35
R603 Extremities - Digital reimplantation involving microvascular and neuro anastomosis 1586.2
R606 Phalanx 161.45
R608 Metacarpal or metaphalangeal joint 190.2
R610 Trans. metacarpal 2nd to 5th ray 279.35
R611 Hand all 'metacarpals 289.5
R612 Wrist 289.5
R629 Revision of amputated finger tip 241.55
R682 Wrist arthroscopy setup 400
Z214 Bone - open biopsy or taking of bone graft by other than operating surgeon 144.8
Z219 Muscle needle biopsy, soft tissue, per site 31.2
Z221 Joint - needle 49.2
Z222 Manipulation under general anaesthetic 134.1
Z228 Soft tissue - open 97.35
Z230 Bone - punch, xray control 89.7
Z231 Tenotomy or fasciotomy (closed) - Finger - three or more 73.7
Z247 Tenotomy or fasciotomy (closed) - Finger - one 49.2
Z248 Tenotomy or fasciotomy (closed) - Finger - two 72.35
Z249 Tenotomy or fasciotomy (closed) - Finger - three or more 99.15
Z290 Aspiration/injection-hip infant 63.95

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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