OHIP Billing Codes
Specialty: Knee
| Code | Description | Fee | ||
|---|---|---|---|---|
|
|
||||
| D031 | Dislocations - Patella - closed reduction - with anaesthetic | 99.3 | ||
| D038 | Dislocations - Knee - closed reduction | 212.1 | ||
| D039 | Dislocations - Knee - open reduction | 315.2 | ||
| D040 | Dislocations - Patella - closed reduction - without anaesthetic | 63.45 | ||
| D041 | Dislocations - Patella - open reduction - early | 296.4 | ||
| E493 | Drilling of defect (includes removal of loose body(ies) | 256.6 | ||
| E498 | Debridement (trauma) - substantial debridement of 1 or more focal flaps of unstable post-traumatic articular cartilage causing mechanical symptoms, includes when rendered for synovectomy, meniscal trimming and/or chondroplasty | 305 | ||
| F085 | Fractures - Patella - no reduction | 69.1 | ||
| F087 | Fractures - Patella - open reduction or excision with or without repair | 281.2 | ||
| R244 | Hemiarthroplasty - Revision total arthroplasty knee | 1197.9 | ||
|
E598
- with associated patellar replacement or patelloplasty - add
|
96.5 | |||
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||||
| R248 | Hemiarthroplasty - Total knee replacement with take down of fusion | 854.85 | ||
|
E598
- with associated patellar replacement or patelloplasty - add
|
96.5 | |||
| R255 | Dislocations - Patella - open reduction - late | 494.1 | ||
| R312 | Excision - Patella - to include fascial repair | 282.1 | ||
| R318 | Excision - Excision exostosis/cyst patella | 128.8 | ||
| R403 | Dislocations - Patella - open reduction - repair recurrent dislocation (includes inspection of joint) | 401.3 | ||
| R412 | Knee with or without removal of loose body | 212.1 | ||
| R413 | Osteochondritis dissecans with drilling and/or internal fixation | 272.6 | ||
| R417 | Excision - Debridement of joint without synovectomy | 296.4 | ||
| R424 | Excision - Synovectomy | 439.3 | ||
| R429 | Excision - Baker's cyst - Meniscectomy | 246.15 | ||
| R431 | Excision - Baker's cyst - simple | 151.5 | ||
| R434 | Excision - Baker's cyst - extensive | 269.8 | ||
| R441 | Hemiarthroplasty -Total replacement/both compartments | 632.35 | ||
|
E598
- with associated patellar replacement or patelloplasty - add
|
96.5 | |||
| R442 | Hemiarthroplasty - Replacement Liner | 360.35 | ||
| R444 | Joint | 196.9 | ||
| R468 | Knee | 410.85 | ||
| R482 | Hemiarthroplasty - single component (e.g. MacIntosh) | 358.75 | ||
|
E598
- with associated patellar replacement or patelloplasty - add
|
96.5 | |||
| R483 | Hemiarthroplasty - double component (e.g. Marmar) | 632.35 | ||
|
E598
- with associated patellar replacement or patelloplasty - add
|
96.5 | |||
| R493 | Ankle total replacement | 1201.15 | ||
| R496 | Hemiarthroplasty - Removal of hemiarthroplasty without replacement | 247.1 | ||
| R497 | Hemiarthroplasty - Removal of total arthroplasty without replacement | 375.8 | ||
| R501 | Excision - Baker's cyst - Cysts of meniscus | 128.8 | ||
| R506 | Excision - Prepatellar bursae | 152.45 | ||
| R508 | Meniscus - Suturing of medial or lateral meniscus | 247.1 | ||
| R509 | Patellar arthroplasty | 246.45 | ||
| R515 | Dislocations - Patella - open reduction - Congenital dislocation knee (open) | 494.1 | ||
| R516 | Muscles/Tendons - Tenotomy - Release patellar retinaculum | 164.7 | ||
| R539 | Ligaments - removal of synthetics | 217.75 | ||
| R564 | Muscles/Tendons - Tenotomy - open - one | 236.65 | ||
| R584 | Muscles/Tendons - Tenoplasty - one | 147.7 | ||
|
E050
- each additional - add
|
78.6 | |||
| R599 | Ligaments - simple - one | 369.25 | ||
| R687 | Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica | 99.3 | ||
|
E476
- removal of symptomatic loose body(ies) and/or screw - add
|
195.85 | |||
|
E489
- microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add
|
255.05 | |||
|
E491
- lateral release - add
|
164.7 | |||
|
E492
- for diseased synovium, anterior, posterior or complete- add
|
235.95 | |||
|
E494
- 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty - add
|
305 | |||
|
E495
- menisectomy, partial or total, for symptomatic meniscal tear - add
|
245.3 | |||
|
E496
- repair medial or lateral meniscus, includes when rendered debridement of attachment site - add
|
343.4 | |||
| R699 | Knee arthroscopy set-up, non-degenerative disorders of the knee or acutely locked knee. | 99.3 | ||
| Z237 | Muscles/Tendons - Tenotomy - closed - one | 50.2 | ||
| Z238 | Muscles/Tendons - Tenotomy - closed - multiple | 73.8 | ||
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
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-
- Head And Neck
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- Upper Extremities
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- Special Examinations
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-
- Laboratory Medicine
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-
- Special Visit Premiums
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- Other Premiums
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- 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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