OHIP Billing Codes
Specialty: Knee
| Code | Description | Fee | ||
|---|---|---|---|---|
|
|
||||
| D031 | Dislocations - Patella - closed reduction - with anaesthetic | 97.35 | ||
| D038 | Dislocations - Knee - closed reduction | 207.9 | ||
| D039 | Dislocations - Knee - open reduction | 309 | ||
| D040 | Dislocations - Patella - closed reduction - without anaesthetic | 62.2 | ||
| D041 | Dislocations - Patella - open reduction - early | 290.55 | ||
| E493 | Drilling of defect (includes removal of loose body(ies) | 251.55 | ||
|
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
97.35 | |||
| 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 | 299 | ||
| F085 | Fractures - Patella - no reduction | 67.75 | ||
| F087 | Fractures - Patella - open reduction or excision with or without repair | 288.25 | ||
| R244 | Hemiarthroplasty - Revision total arthroplasty knee | 1174.3 | ||
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| R248 | Hemiarthroplasty - Total knee replacement with take down of fusion | 838 | ||
| R255 | Dislocations - Patella - open reduction - late | 484.35 | ||
| R312 | Excision - Patella - to include fascial repair | 276.55 | ||
| R318 | Excision - Excision exostosis/cyst patella | 126.25 | ||
| R403 | Dislocations - Patella - open reduction - repair recurrent dislocation (includes inspection of joint) | 422.15 | ||
| R412 | Knee with or without removal of loose body | 207.9 | ||
| R413 | Osteochondritis dissecans with drilling and/or internal fixation | 267.25 | ||
| R417 | Excision - Debridement of joint without synovectomy | 290.55 | ||
| R424 | Excision - Synovectomy | 430.65 | ||
| R429 | Excision - Baker's cyst - Meniscectomy | 241.3 | ||
| R431 | Excision - Baker's cyst - simple | 148.5 | ||
| R434 | Excision - Baker's cyst - extensive | 264.5 | ||
| R441 | Hemiarthroplasty -Total replacement/both compartments | 631.2 | ||
| R442 | Hemiarthroplasty - Replacement Liner | 353.25 | ||
| R444 | Joint | 193 | ||
| R468 | Knee | 402.75 | ||
| R482 | Hemiarthroplasty - single component (e.g. MacIntosh) | 351.7 | ||
| R483 | Hemiarthroplasty - double component (e.g. Marmar) | 619.9 | ||
| R493 | Ankle total replacement | 1199 | ||
| R496 | Hemiarthroplasty - Removal of hemiarthroplasty without replacement | 242.25 | ||
| R497 | Hemiarthroplasty - Removal of total arthroplasty without replacement | 368.4 | ||
| R501 | Excision - Baker's cyst - Cysts of meniscus | 126.25 | ||
| R506 | Excision - Prepatellar bursae | 149.45 | ||
| R508 | Meniscus - Suturing of medial or lateral meniscus | 242.25 | ||
| R509 | Patellar arthroplasty | 241.6 | ||
| R515 | Dislocations - Patella - open reduction - Congenital dislocation knee (open) | 484.35 | ||
| R516 | Muscles/Tendons - Tenotomy - Release patellar retinaculum | 161.45 | ||
| R539 | Ligaments - removal of synthetics | 213.45 | ||
| R564 | Muscles/Tendons - Tenotomy - open - one | 232 | ||
| R584 | Muscles/Tendons - Tenoplasty - one | 144.8 | ||
| R599 | Ligaments - simple - one | 361.95 | ||
| R687 | Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica | 97.35 | ||
| R699 | Knee arthroscopy set-up, non-degenerative disorders of the knee or acutely locked knee. | 97.35 | ||
| Z237 | Muscles/Tendons - Tenotomy - closed - one | 49.2 | ||
| Z238 | Muscles/Tendons - Tenotomy - closed - multiple | 72.35 | ||
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OHIP Billing Codes
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