OHIP Billing Codes
Specialty: Shoulder Arm And Chest
| Code | Description | Fee | ||
|---|---|---|---|---|
|
|
||||
| D014 | Dislocations - Acromio-clavicular/sterno-clavicular - no reduction | 69.15 | ||
| D015 | Dislocations - Glenohumeral joint - closed reduction without anaesthetic | 50.2 | ||
| D016 | Dislocations - Glenohumeral joint - closed reduction with anaesthetic | 113.65 | ||
| D017 | Dislocations - Glenohumeral joint - open reduction, early | 330.35 | ||
| D023 | Open Reduction | 235.75 | ||
| D025 | Dislocations - Acromio-clavicular/sterno-clavicular - closed with anaesthetic | 137.25 | ||
| F042 | Fractures - Shaft - no reduction | 69.15 | ||
| F043 | Fractures - Shaft - closed reduction | 150.55 | ||
| F044 | Fractures - Shaft - open reduction | 668.7 | ||
| F047 | Fractures - Tuberosity - no reduction | 69.15 | ||
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| F048 | Fractures - Turberosity - closed reduction | 120.2 | ||
| F049 | Fractures - Tuberosity - open reduction (without cuff tear) | 296.4 | ||
| F050 | Fractures - Neck with dislocation of head - no reduction | 69.15 | ||
| F051 | Fractures - Neck with dislocation of head - closed reduction | 187.5 | ||
| F052 | Fractures - Neck with dislocation of head - open reduction | 532.25 | ||
| F053 | Fractures - Neck without dislocation of head - no reduction | 69.15 | ||
| F054 | Fractures - Neck without dislocation of head - closed reduction | 136.3 | ||
| F055 | Fractures - Neck without dislocation of head - open reduction | 525.3 | ||
| F110 | Fractures - Clavicle - closed reduction with anaesthetic | 63.45 | ||
| F118 | Fractures - Clavicle - open reduction | 467.95 | ||
| F119 | Fractures - Scapula - no reduction | 69.15 | ||
| F121 | Fractures - Scapula - open reduction | 389.05 | ||
| F123 | Fractures - Sternum - closed reduction | 118.3 | ||
| R214 | Clavicle or Acromion - Malignant tumour with reconstruction | 494.1 | ||
| R222 | Incision and Drainage - Humerus/clavicle/scapula | 267.9 | ||
| R223 | Incision and Drainage - Saucerization with bone graft | 395.7 | ||
| R225 | Incision and Drainage - Sequestrectomy | 296.4 | ||
| R235 | Osteotomy - glenoid | 284.95 | ||
| R240 | Revision total arthroplasty shoulder | 961.9 | ||
| R260 | Osteotomy - humerus | 298.25 | ||
| R292 | Humerus - Head | 305.75 | ||
| R297 | Humerus - Malignant tumour with reconstruction | 694.8 | ||
| R298 | Clavicle or Acromion - Simple (includes ligament) | 215.85 | ||
| R325 | Pseudoarthrosis - Humerus | 353.1 | ||
| R329 | Pseudoarthrosis - Clavicle | 274.5 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| R353 | Muscles/soft tissues - Scapulopexy congenital elevation | 392.9 | ||
| R401 | Dislocations - Glenohumeral joint - open reduction, recurrent | 428.1 | ||
|
E058
- revision/repair following previous glenohumeral joint surgery - add 30%
|
||||
| R411 | Shoulder | 228.15 | ||
| R416 | Rotator cuff exploration includes acromioplasty, excision of coracoacromial ligament and subacromial bursa but excludes simple excision of clavicle | 211.05 | ||
| R422 | Joint - Synovectomy and debridement | 433.65 | ||
| R438 | Humeral prosthesis | 458.25 | ||
| R467 | Shoulder | 478.05 | ||
| R472 | Dislocations - Glenohumeral joint - open reduction, late | 592.6 | ||
| R487 | Total prosthesis | 785.5 | ||
| R498 | Removal prosthesis/no replacement | 405.2 | ||
| R512 | Joint - Excision of subacromial bursa (not to be claimed with R416, R593 or R594) | 215.85 | ||
| R526 | Sternomastoid | 302 | ||
| R527 | Muscles/soft tissues - Muscle transplant pectoralis major | 443 | ||
| R568 | Muscles/soft tissues - Trapezius/sternomastoid transplant | 345.45 | ||
| R589 | Muscles/soft tissues - Tendon repair or release biceps | 231.95 | ||
| R593 | Muscles/soft tissues - Rotator cuff repair - simple, endtoend or sidetoside (includes acromioplasty, excision of coracoacromial ligament and subacromial bursa ) | 352.3 | ||
| R594 | Muscles/soft tissues - Rotator cuff repair - complex (includes implantation into bone, and as required, acromioplasty, excision of coracoacromial ligament, subacromial bursa and excision of distal clavicle) | 508.3 | ||
|
E057
- revision/repair following previous rotator cuff surgery - add 30%
|
||||
| R596 | Dislocations - Acromio-clavicular/sterno-clavicular - late | 292.45 | ||
| R615 | High humerus | 376.75 | ||
| R616 | Shoulder disarticulation | 380.6 | ||
| R617 | Forequarter | 500.8 | ||
| R641 | Clavicle or Acromion - Major tumour | 296.4 | ||
| R684 | Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/ or synovial biopsy | 408.05 | ||
|
E478
- pinning of osteochondral fragment - add
|
256.6 | |||
|
E484
- superior labral anterior posterior (SLAP) repair - add
|
343.4 | |||
|
E485
- arthroscopic capsular release for frozen shoulder - add
|
245.35 | |||
| R685 | Muscles/soft tissues - Tendon release with tenodesis biceps | 320.9 | ||
| R956 | Pseudoarthrosis - Humerus circular external fixation | 297.25 | ||
|
E590
- rigid external fixation pseudoarthrosis - add
|
77.65 | |||
| R957 | Osteotomy - Single level correction circular external fixation | 520.6 | ||
| R958 | Osteotomy - Double level correction circular external fixation | 651.25 | ||
| R959 | Osteotomy - Bone transport - circular external fixation (less than or equal to 6 cm) | 668.3 | ||
| R960 | Osteotomy - Bone transport - circular external fixation (greater than 6 cm) | 779.15 | ||
| R961 | Osteotomy - Humeral lengthening - circular external fixation (less than or equal to 6 cm) | 446.8 | ||
| R962 | Osteotomy - Humeral lengthening - circular external fixation (greater than 6 cm) | 668.3 | ||
| Z220 | Bone - needle/punch, xray control | 91.5 | ||
| Z223 | Manipulation under general anaesthetic | 50.2 | ||
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.
OHIP Billing Codes
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-
- Head And Neck
- Spine And Pelvis
- Chest And Abdomen
- Upper Extremities
- Skeletal Surveys
- Lower Extremities
- Gastrointestinal Tract
- Special Examinations
- Computed Tomography (CT)
- Genitourinary Tract
- Bone Mineral Density (BMD) Measurement
- Obstetrics And Gynaecology
- Miscellaneous Examinations
- Fluoroscopy - By Physician With Or Without Spot Films
-
- Laboratory Medicine
- Nerve Blocks For Acute Pain Management
- Injections And Infusions
- Dialysis
- Haematology
- Home And Self Care Services
- Ophthalmology
- Otolaryngology
- Electrocardiography (ECG)
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- Nerve Blocks - Interventional Pain Injections
- Non-Invasive Cardiography
- Neurology
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- Allergy
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- Critical Care
- Nerve Blocks - Peripheral / Other Injections
- Gynaecology
- Endocrinology And Metabolism
- Nephrology
- Psychiatry And Respiratory Disease
- Physical Medicine
- Dermatology
- Palliative Care
- Echocardiography
- Neurosurgery
- Sleep Studies
- Anaesthesia
-
- Special Visit Premiums
- Anaesthesiologists' Services
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Assessments
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Temporary COVID-19 Service
- Emergency Department Sessional Fees
- Emergency Department By Emergency Department Physician
- General Information
- Special Visit Premiums - Long-Term Care Institution
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- Fractures Of The Spine
- Anterior Spinal Decompression
- Posterior Spinal Decompression
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Arthrodesis As Sole Procedure
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Procedures Involving Neural Elements
- Anterior Spinal Arthrodesis Following Decompression
- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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