OHIP Billing Codes

Specialty: Hand And Wrist

Code	Description	Anes	Asst	Fee
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D001	Fractures - Dislocations - Finger - closed reduction	6		58.65
	E576 - each additional - add			10.45
	E584 - application of plaster cast outside hospital - add			11.35
D003	Fractures - Dislocations - Finger - open reduction	6	6	200.45
D004	Fractures - Dislocations - Metacarpal/phalangeal - closed reduction	6		58.65
	E577 - each additional - add			10.45
D006	Fractures - Dislocations - Metacarpal/phalangeal - open reduction	7	6	185.5
D007	Fractures - Carpal - closed reduction	6		130.6
D008	Fractures - Carpal - open reduction	7	6	246.15
F004	Fractures - Phalanx - no reduction, rigid immobilization	0		50.2
	E584 - application of plaster cast outside hospital - add			11.35
F005	Fractures - Phalanx - closed reduction	6		101.25
	E569 - percutaneous pinning, to closed reduction fee - add 50%
	E826 - percutaneous pinning - add 75%
F006	Fractures - Intra-articular - closed reduction	0		122.15
	E503 - each additional - add			27.4
	E569 - percutaneous pinning, to closed reduction fee - add 50%
	E584 - application of plaster cast outside hospital - add			11.35
	E826 - percutaneous pinning - add 75%
F007	Fractures - Phalanx - open reduction	7	6	304.45
	E584 - application of plaster cast outside hospital - add			11.35
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F008	Fractures - Metacarpal - no reduction, one or more, rigid immobilization	0		50.2
F009	Fractures - Metacarpal - closed reduction	6		101.25
	E504 - each additional - add			22.65
	E569 - percutaneous pinning, to closed reduction fee - add 50%
	E584 - application of plaster cast outside hospital - add			11.35
	E826 - percutaneous pinning - add 75%
F010	Fractures - Intra-articular - open reduction	7	6	342.55
F011	Fractures - Metacarpal - open reduction	7	6	267.9
	E559 - each additional - add			145.75
F012	Fractures - Bennett's - no reduction, rigid immobilization	0		50.2
	E584 - application of plaster cast outside hospital - add			11.35
F013	Fractures - Bennett's - closed reduction	6	6	122.2
	E569 - percutaneous pinning, to closed reduction fee - add 50%
	E826 - percutaneous pinning - add 75%
F015	Fractures - Bennett's - open reduction	7	6	342.55
F016	Fractures - Carpus - closed reduction, one or more	6		117.4
	E569 - percutaneous pinning, to closed reduction fee - add 50%
	E826 - percutaneous pinning - add 75%
F017	Fractures - Carpus - open reduction, one or more	7	6	353.1
F018	Fractures - Scaphoid - no reduction, rigid immobilization	0		50.2
	E584 - application of plaster cast outside hospital - add			11.35
F019	Fractures - Scaphoid - open reduction	7	6	489.65
F020	Fractures - Scaphoid - excision	7	6	196.9
F102	Fractures - Carpus - no reduction, rigid immobilization	0		50.2
	E584 - application of plaster cast outside hospital - add			11.35
R209	Basal thumb first carpometacarpal joint	7	6	370.35
	E564 - revision of arthroplasty - add 35%
R217	Phalanx/metacarpal/carpus - saucerization and bone graft	7	6	247.1
R218	Phalanx/metacarpal/carpus - sequestrectomy	6	6	147.7
R219	Phalanx/metacarpal/carpus - incision and drainage	6	6	186.6
R236	Carpal replacement	7	6	328.5
	E564 - revision of arthroplasty - add 35%
R257	Bone - Deformity - Osteotomy phalanx - terminal	6		165.9
R258	Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal	7	6	197.1
	E591 - each additional - add			161.85
R283	Bone - Phalanx/metacarpal	7	6	196.9
R285	Bone - Carpal bone (one)	7	6	218.75
R286	Bone - Radial styloid	7	6	239.45
R316	Bone - Proximal row carpectomy	7	6	345.55
R317	Bone - Dorsal exostosis (triquetrum)	6	6	193.55
R321	Bone - Pseudoarthrosis/non-union/avascular necrosis - Phalanx, metacarpal	7	6	266
	E590 - rigid external fixation pseudoarthrosis - add			77.65
R322	Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid	6	6	600
	E497 - pseudoarthrosis/non-union/avascular necrosis - pedicled vascularized bone graft - add			537
	E590 - rigid external fixation pseudoarthrosis - add			77.65
R345	Bone - Pseudoarthrosis/non-union/avascular necrosis - Carpal bone, other than scaphoid	6	6	266
	E497 - pseudoarthrosis/non-union/avascular necrosis - pedicled vascularized bone graft - add			537
	E590 - rigid external fixation pseudoarthrosis - add			77.65
R407	Joint - Synovectomy of extensor or flexor tendons	6		228.95
R409	Finger	6		171.4
R410	Wrist	6	6	216.75
R414	Joint - Synovectomy/capsulectomy/debridement - two or more joints	7	6	346.5
R418	Joint - Synovectomy/debridement wrist	7	6	349.45
R425	Joint - Synovectomy/capsulectomy/debridement - finger joint	6	6	230.95
R435	Hand - interposition - single	7	6	259.45
	E564 - revision of arthroplasty - add 35%
R436	Hand - interposition - multiple	7	6	468.65
	E564 - revision of arthroplasty - add 35%
R437	Wrist - interposition	7	6	381.5
	E564 - revision of arthroplasty - add 35%
R465	Finger-thumb	7	6	327.75
R466	Wrist	6	6	471.05
R479	Wrist - removal only	6	6	196.9
	E564 - revision of arthroplasty - add 35%
R485	Wrist - total	6	6	681.15
	E564 - revision of arthroplasty - add 35%
R489	Single joint total (arthrodesis and/or arthroplasties) maximum of 4	7	6	296.4
	E564 - revision of arthroplasty - add 35%
R492	Joint - Radioulnar meniscectomy	7	6	235.75
R500	Removal only	6	6	147.7
	E564 - revision of arthroplasty - add 35%
R522	Muscle - simple	6	6	196.9
R523	Muscle - complex	7	6	494.1
R534	Phalanx/metacarpal/carpus - Tendon sheath	6	6	229.5
R536	Tendon release (open) - finger/palm	6		159.65
R537	Tendon release (open) - Wrist	6	6	178.5
R541	Flexor tenolysis with pulley preservation	6	6	315.2
R548	Ligaments - Extensive/multiple repair wrist	7	6	521.75
R549	Soft tissue - Ganglion Simple or complex	6	6	181.35
	E831 - use of skin grafts, or revision surgery (with or without skin grafts) - add 30%
R551	Soft tissue - Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps	7	6	328.65
	E831 - use of skin grafts, or revision surgery (with or without skin grafts) - add 30%
	E832 - excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps - excision of fascia for Dupuytrens, one or more additional rays - add			279.35
R554	Tendon - Silicone rod insertion - one	7	6	300.1
	E051 - each additional - add			250.85
R557	Tendon - Tenoplasty - one	7	6	228.15
	E050 - each additional - add			78.6
R559	Tendon - Tendon graft - one	7	6	312.45
	E052 - each additional - add			265.05
R563	Tendon - Transplant/transfer - single	7	6	290.7
	E054 - each additional - add			240.85
	E056 - each additional - add			93.75
R573	Tendon - Mallet finger - open	6	6	150.15
R574	Tendon - Mallet finger - K-wire	7		136.65
R575	Tendon - Tenolysis flexor and/or extensor tendon of - one digit	6	6	197.95
	E537 - each additional digit - add			168.5
R577	Tendon - Boutonniere - open	6	6	150.25
R578	Tendon - Tendon repair extensor - single	7	6	167.4
	E580 - each additional - add			72.4
R582	Tendon - Boutonniere - late	7	6	251.6
R585	Tendon - Flexor - single	7	6	313.8
	E581 - each additional - add			131.55
R586	Tendon - Tendon graft - Reconstruction of flexor tendon pulley, per finger	7		99.3
R592	Tumours - Soft tissues - deep	7	6	494.1
R597	Ligaments - Simple/single repair wrist	7	6	307.65
R601	Ligaments - Metacarpal phalangeal repair	7	6	323.1
R602	Extremities - Pollicization	6	6	608.35
R603	Extremities - Digital reimplantation involving microvascular and neuro anastomosis	8	8	1618.1
R606	Phalanx	6		164.7
R608	Metacarpal or metaphalangeal joint	7		194
	E583 - each additional - add			96.5
R610	Trans. metacarpal 2nd to 5th ray	7		284.95
R611	Hand all 'metacarpals	6	6	295.3
R612	Wrist	6	6	295.3
R629	Revision of amputated finger tip	6	6	246.4
R682	Wrist arthroscopy setup	7	6	408.05
	E478 - pinning of osteochondral fragment - add			256.6
	E479 - arthroscopy of midcarpal and/or distal radioulnar joint, through separate portals - add			195.85
	E480 - triangular fibrocartilage complex repair - add			357.7
	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
Z214	Bone - open biopsy or taking of bone graft by other than operating surgeon	6	6	147.7
Z219	Muscle needle biopsy, soft tissue, per site	0		31.85
Z221	Joint - needle	0		50.2
Z222	Manipulation under general anaesthetic	6		24.6
Z228	Soft tissue - open	6		99.3
Z230	Bone - punch, xray control	6		91.5
Z231	Tenotomy or fasciotomy (closed) - Finger - three or more	7		75.2
Z247	Tenotomy or fasciotomy (closed) - Finger - one	6		50.2
Z248	Tenotomy or fasciotomy (closed) - Finger - two	7		73.8
Z249	Tenotomy or fasciotomy (closed) - Finger - three or more	6		101.15
Z290	Aspiration/injection-hip infant	6	6	65.25

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