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
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

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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