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 |
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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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-
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-
- Special Visit Premiums
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- 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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