OHIP Billing Codes

Specialty: Pelvis And Hip

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Code Description Fee

Amputation

R631 Hemipelvectomy hindquarter $796.20
R630 Hip disarticulation $514.80

Arthrodesis

R470 Hip $703.45
R469 Sacro-iliac joint $395.25
R514 Symphysis pubis $387.00

Arthroplasty

R488 Removal only - cemented $557.75
R443 Removal only - noncemented $447.30
R491 Removal only - Replacement acetabular liner and/or femoral head $353.25
R241 Revision total arthroplasty hip - one or both components - acetabular or femoral $1,304.80
R481 Revision total arthroplasty hip - one or both components - Reattachment of greater trochanter (late) $290.55

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R440 Total hip replacement - acetabulum and femur $708.70
R553 Total hip replacement with take down of fusion $972.90
R439 Unipolar $490.95

Arthroscopy

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 $669.80

Arthrotomy

R415 Hip - with removal of loose body $301.60
R547 Sacro-iliac joint $290.55

Biopsy

Z212 Bone - punch needle $89.70
Z217 Bone - under general anaesthetic $72.35

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Denervation / Decompression

N285 Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve) $256.15
R427 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Denervation of hip $387.00
N188 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve $153.70
N177 Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Sciatic nerve in buttock $430.75

Examination / Manipulation

Z252 Manipulation - under general anaesthetic $39.00

Excision

F115 Bone - Coccyx $208.80
R315 Bone - Head and neck, femur $452.90
R330 Bone - Major resection tumour $629.65
R216 Bone - Radical resection tumour $1,007.35
R639 Bone - Simple cyst, etc $338.75
R590 Bursae - GT trochanteric/ischial $201.40
Z570 Fulguration of first polyp through colonoscope
R263 Hip $578.55
R423 Joint - Synovectomy/debridement $470.50
Z232 Muscle/tendon - Tenotomy - closed adductors $49.20
R545 Muscle/tendon - Tenotomy - iliopsoas $266.35
Z233 Muscle/tendon - Tenotomy - open adductors $97.35
R265 Osteotomy - Pelvis - infant $399.00
R273 Osteotomy - Pelvis - other $623.35
Z569 Peritoneal abscess - Pelvic abscess, incision and drainage rectal or vaginal approach $122.05
R328 Pseudoarthrosis - Hip $872.65
R364 Pseudoarthrosis - Pelvis $580.90

Incision and Drainage

R269 Bone $290.55
R250 Saucerization and bone graft $627.30
R249 Sequestrectomy $379.50

Reconstruction

R570 Iliopsoas $520.60
R569 Tendon transfer - Abductor $339.65

Reduction

D052 Dislocations - Acetabulum - open reduction lips $612.45
D046 Dislocations - Acetabulum - open reduction one pillar $967.90
D047 Dislocations - Acetabulum - open reduction two pillars $1,451.45
Z291 Dislocations - Congenital hip - Application Pavlik Harness or C.D.H. Splint $24.10
R404 Dislocations - Congenital hip - closed reduction (includes tenotomy and cast) $190.20
R406 Dislocations - Congenital hip - open reduction (includes tenotomy and arthrotomy) $472.35
R405 Dislocations - Congenital hip - repeat (includes cast) $131.80
D042 Dislocations - Hip - closed reduction $268.25
R628 Dislocations - Hip - late, after four weeks open $774.90
D043 Dislocations - Hip - open reduction $406.45
D061 Dislocations - Sacro-coccygeal - open, removal of coccyx $193.00
D059 Dislocations - Sacro-iliac - closed, traction, spica, etc $428.50
D060 Dislocations - Sacro-iliac - open reduction $593.00
F098 Fractures - Femoral neck trochanteric, subtrochanteric - closed reduction/traction $426.90
R600 Fractures - Femoral neck trochanteric, subtrochanteric - delayed/staged graft $289.50
F100 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin and plate/screws (cannulated included) $659.45
F099 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin only $408.30
F101 Fractures - Femoral neck trochanteric, subtrochanteric - open reduction primaryprosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar) $669.60
F134 Fractures - Pelvic ring - closed reduction $442.45
F135 Fractures - Pelvic ring - open reduction $680.30
R642 Fractures - Slipped epiphysis - closed reduction/internal fixation $387.00
R607 Fractures - Slipped epiphysis - closed reduction/traction $387.00
R627 Fractures - Slipped epiphysis - open reduction/fixation $580.90

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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