OHIP Billing Codes

Specialty: Pelvis And Hip

Code Description Fee
D042 Dislocations - Hip - closed reduction 268.25
D043 Dislocations - Hip - open reduction 406.45
D046 Dislocations - Acetabulum - open reduction one pillar 967.9
D047 Dislocations - Acetabulum - open reduction two pillars 1451.45
D052 Dislocations - Acetabulum - open reduction lips 612.45
D059 Dislocations - Sacro-iliac - closed, traction, spica, etc 428.5
D060 Dislocations - Sacro-iliac - open reduction 593
D061 Dislocations - Sacro-coccygeal - open, removal of coccyx 193
F098 Fractures - Femoral neck trochanteric, subtrochanteric - closed reduction/traction 426.9
F099 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin only 408.3

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F100 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin and plate/screws (cannulated included) 659.45
F101 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction primaryprosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar) 669.6
F115 Bone - Coccyx 208.8
F134 Fractures - Pelvic ring - closed reduction 442.45
F135 Fractures - Pelvic ring - open reduction 680.3
N177 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Sciatic nerve in buttock 430.75
N188 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve 153.7
N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) 256.15
R216 Bone - Radical resection tumour 1007.35
R241 Revision total arthroplasty hip - one or both components - acetabular or femoral 1304.8
R249 Sequestrectomy 379.5
R250 Saucerization and bone graft 627.3
R263 Hip 578.55
R265 Osteotomy - Pelvis - infant 399
R269 Bone 290.55
R273 Osteotomy - Pelvis - other 623.35
R315 Bone - Head and neck, femur 452.9
R328 Pseudoarthrosis - Hip 872.65
R330 Bone - Major resection tumour 629.65
R364 Pseudoarthrosis - Pelvis 580.9
R404 Dislocations - Congenital hip - closed reduction (includes tenotomy and cast) 190.2
R405 Dislocations - Congenital hip - repeat (includes cast) 131.8
R406 Dislocations - Congenital hip - open reduction (includes tenotomy and arthrotomy) 472.35
R415 Hip - with removal of loose body 301.6
R423 Joint - Synovectomy/debridement 470.5
R427 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Denervation of hip 387
R439 Unipolar 490.95
R440 Total hip replacement - acetabulum and femur 708.7
R443 Removal only - noncemented 447.3
R469 Sacro-iliac joint 395.25
R470 Hip 703.45
R481 Revision total arthroplasty hip - one or both components - Reattachment of greater trochanter (late) 290.55
R488 Removal only - cemented 557.75
R491 Removal only - Replacement acetabular liner and/or femoral head 353.25
R514 Symphysis pubis 387
R545 Muscle/tendon - Tenotomy - iliopsoas 266.35
R547 Sacro-iliac joint 290.55
R553 Total hip replacement with take down of fusion 972.9
R569 Tendon transfer - Abductor 339.65
R570 Iliopsoas 520.6
R590 Bursae - GT trochanteric/ischial 201.4
R600 Fractures - Femoral neck trochanteric, subtrochanteric - delayed/staged graft 289.5
R607 Fractures - Slipped epiphysis - closed reduction/traction 387
R627 Fractures - Slipped epiphysis - open reduction/fixation 580.9
R628 Dislocations - Hip - late, after four weeks open 774.9
R630 Hip disarticulation 514.8
R631 Hemipelvectomy hindquarter 796.2
R639 Bone - Simple cyst, etc 338.75
R642 Fractures - Slipped epiphysis - closed reduction/internal fixation 387
R686 Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy 669.8
Z212 Bone - punch needle 89.7
Z217 Bone - under general anaesthetic 72.35
Z232 Muscle/tendon - Tenotomy - closed adductors 49.2
Z233 Muscle/tendon - Tenotomy - open adductors 97.35
Z252 Manipulation - under general anaesthetic 39
Z291 Dislocations - Congenital hip - Application Pavlik Harness or C.D.H. Splint 24.1
Z569 Peritoneal abscess - Pelvic abscess, incision and drainage rectal or vaginal approach 122.05
Z570 Fulguration of first polyp through colonoscope 0

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