OHIP Billing Codes

Specialty: Pelvis And Hip

Code Description Fee
D042 Dislocations - Hip - closed reduction 273.65
D043 Dislocations - Hip - open reduction 414.6
D046 Dislocations - Acetabulum - open reduction one pillar 987.35
D047 Dislocations - Acetabulum - open reduction two pillars 1480.6
D052 Dislocations - Acetabulum - open reduction lips 624.75
D059 Dislocations - Sacro-iliac - closed, traction, spica, etc 437.1
D060 Dislocations - Sacro-iliac - open reduction 604.9
D061 Dislocations - Sacro-coccygeal - open, removal of coccyx 196.9
F098 Fractures - Femoral neck trochanteric, subtrochanteric - closed reduction/traction 435.5
F099 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin only 416.5

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F100 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin and plate/screws (cannulated included) 626.9
F101 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction primaryprosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar) 625.95
F115 Bone - Coccyx 213
F134 Fractures - Pelvic ring - closed reduction 451.35
F135 Fractures - Pelvic ring - open reduction 693.95
N177 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Sciatic nerve in buttock 439.4
N188 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve 156.8
N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) 261.3
R216 Bone - Radical resection tumour 1027.6
R241 Revision total arthroplasty hip - one or both components - acetabular or femoral 1331.05
R249 Sequestrectomy 387.15
R250 Saucerization and bone graft 639.9
R263 Hip 550
R265 Osteotomy - Pelvis - infant 407
R269 Bone 296.4
R273 Osteotomy - Pelvis - other 592.6
R315 Bone - Head and neck, femur 462
R328 Pseudoarthrosis - Hip 487.5
R330 Bone - Major resection tumour 642.3
R364 Pseudoarthrosis - Pelvis 592.6
R404 Dislocations - Congenital hip - closed reduction (includes tenotomy and cast) 194
R405 Dislocations - Congenital hip - repeat (includes cast) 134.45
R406 Dislocations - Congenital hip - open reduction (includes tenotomy and arthrotomy) 481.85
R415 Hip - with removal of loose body 307.65
R423 Joint - Synovectomy/debridement 479.95
R427 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Denervation of hip 394.8
R439 Unipolar 500.8
R440 Total hip replacement - acetabulum and femur 710
R443 Removal only - noncemented 456.3
R469 Sacro-iliac joint 403.2
R470 Hip 717.6
R481 Revision total arthroplasty hip - one or both components - Reattachment of greater trochanter (late) 296.4
R488 Removal only - cemented 568.95
R491 Removal only - Replacement acetabular liner and/or femoral head 360.35
R514 Symphysis pubis 394.8
R545 Muscle/tendon - Tenotomy - iliopsoas 271.7
R547 Sacro-iliac joint 296.4
R553 Total hip replacement with take down of fusion 992.45
R569 Tendon transfer - Abductor 346.5
R570 Iliopsoas 531.05
R590 Bursae - GT trochanteric/ischial 205.45
R600 Fractures - Femoral neck trochanteric, subtrochanteric - delayed/staged graft 295.3
R607 Fractures - Slipped epiphysis - closed reduction/traction 394.8
R627 Fractures - Slipped epiphysis - open reduction/fixation 592.6
R628 Dislocations - Hip - late, after four weeks open 790.5
R630 Hip disarticulation 458.25
R631 Hemipelvectomy hindquarter 812.2
R639 Bone - Simple cyst, etc 345.55
R642 Fractures - Slipped epiphysis - closed reduction/internal fixation 394.8
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 683.25
Z212 Bone - punch needle 91.5
Z217 Bone - under general anaesthetic 73.8
Z232 Muscle/tendon - Tenotomy - closed adductors 50.2
Z233 Muscle/tendon - Tenotomy - open adductors 99.3
Z252 Manipulation - under general anaesthetic 39.8
Z291 Dislocations - Congenital hip - Application Pavlik Harness or C.D.H. Splint 24.6
Z569 Peritoneal abscess - Pelvic abscess, incision and drainage rectal or vaginal approach 124.5
Z570 Fulguration of first polyp through colonoscope 50.8

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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