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

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R248 Hemiarthroplasty - Total knee replacement with take down of fusion 854.85
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
R442 Hemiarthroplasty - Replacement Liner 360.35
R444 Joint 196.9
R468 Knee 410.85
R482 Hemiarthroplasty - single component (e.g. MacIntosh) 358.75
R483 Hemiarthroplasty - double component (e.g. Marmar) 632.35
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
R599 Ligaments - simple - one 369.25
R687 Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica 99.3
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.

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