OHIP Billing Codes

Specialty: Skull And Mandible

Code Description Fee
D062 Dislocations - Temporomandibular joint - closed reduction 51.65
D063 Dislocations - Temporomandibular joint - open reduction 256.4
E173 Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation 594.7
E174 Fractures - Orbit - blowout fracture of floor 667
F136 Fractures - Nasal bones to include manipulation of nasal septum - closed reduction 102.35
F137 Fractures - Nasal bones to include manipulation of nasal septum - open reduction 316.35
F138 Mandible - closed reduction, includes maxillary-mandibular fixation 350
F139 Mandible - open reduction, per fracture, to include intermaxillary fixation 575
F140 Mandible - removal of intermaxillary fixation device(s) 100
F142 Fractures - Orbit with maxilla - with wiring and local fixation 685.2

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F143 Fractures - Midface fractures - middle 1/4 facial 577.65
F144 Fractures - Midface fractures - cranialfacial separation 1594.9
F150 Fractures - Orbit with maxilla - closed reduction and dental wiring 256.4
R145 Mandibular condylotomy 204.8
R278 Maxilla, with exenteration of orbit and skin graft 532.95
R279 Maxilla advancement 440.15
R280 Mandible 353.1
R284 Mandibular condyle 276.55
R334 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - partial 409.55
R335 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - complete 819.15
R347 Bicoronal flaps 200
R349 Posterior dento-alveolar osteotomy, maxilla - one side 803.8
R351 Posterior dento-alveolar osteotomy, maxilla - both sides, single segment 932.1
R354 Interdental wiring for temporomandibular joint disorder 154
R376 Hypertelorism correction - intracranial approach* 2334.85
R377 Hypertelorism correction - subcranial U osteotomies* 1950.15
R378 LeFort III total maxillary advancement* 2037.35
R379 LeFort I advancement - in one segment 803.8
R380 Orbital cranial osteotomy - intracranial approach 1495.5
R381 Orbital cranial osteotomy - extracranial approach 1121.5
R382 Anterior dento-alveolar osteotomy, maxilla or mandible - one segment 803.8
R383 Anterior dento-alveolar osteotomy, maxilla or mandible - two segments 932.1
R384 Mandibular osteotomies for prognathism - vertical ramus 932.1
R385 Posterior dento-alveolar osteotomy, maxilla - both sides, separate segments 1187.5
R386 Genioplasty - one segment 384.6
R387 Genioplasty - two segments, or for laterognathia 575.45
R388 Genioplasty - three segments 767.85
R389 LeFort II maxillary osteotomy and advancement* 1443.95
R390 Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts* (extracranial) 1699.45
R391 Orbital dystopia - intracranial approach 1950.15
R392 Orbital dystopia - intracranial approach 1485.1
R393 Forehead advancement (bone grafts not included) - bilateral 1443.95
R394 Cranial vault reshaping* anterior or posterior half 1525.3
R395 Construction glenoid fossa and zygomatic arch* (Obwegeser technique) 1402.75
R396 Construction absent condyle and ascending ramus* 803.8
R398 Medial transnasal canthopexy - unilateral 414.3
R399 Lateral canthoplasty - unilateral 204.8
R428 Temporomandibular meniscectomy 249.75
R433 Temporomandibular joint - unilateral 349.3
R462 Posterior dento-alveolar osteotomy, mandible - one side 803.8
R463 Posterior dento-alveolar osteotomy, mandible - both sides 1187.5
R480 Mandibular osteotomies for prognathism - subcondylar 420.1
R502 Total U dento-alveolar osteotomy - mandible 1228.7
R507 Total U dento-alveolar osteotomy - maxilla 1315.7
R511 Total U dento-alveolar osteotomy - Mandibular or maxillary visor osteotomy for alveolar hypoplasia 1146.4
R518 Mandibular osteotomies for prognathism - sagittal split 932.1
R520 Mandibular osteotomies for retrognathia, any technique - advancement - up to 10 mm 932.1
R529 Mandibular osteotomies for retrognathia, any technique - advancement - 10 to 20 mm, inclusive 1058.4
R531 Facial paralysis - static slings 307.15
R532 Facial paralysis - dynamic slings 399
R533 Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles 511.9
R535 Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm 1356.9
R538 LeFort I intrusion - in one segment 1059.35
R567 LeFort I extrusion - in one segment* 1315.7
R580 LeFort I cleft palate - in one segment* 1525.3
R588 Nasomaxillary osteotomy without LeFort I* 803.8
R609 Combined LeFort I and LeFort III osteotomy in hemifacial microsomia 1586.2
R618 Coronoidotomy 204.8
R644 Coronoidectomy 307.15
R645 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - partial 819.15
R646 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - complete 1023.95
R647 Oral vestibuloplasty - with secondary epithelization 204.8
R648 Oral vestibuloplasty - with skin graft 307.15
R649 Temporomandibular ankylosis - excision bone or fibrous block 461.3
R650 Temporomandibular ankylosis - with insertion of prosthetic device or muscle flap 511.9
R651 Temporomandibular ankylosis - with construction of condyle and ascending ramus* 666
R652 Removal intermaxillary fixation devices under general 102.35
R653 anaesthesia - as sole procedure 2196.35
R654 Pericranial flap to orbit or face - unilateral 307.15
R655 Pericranial flap to orbit or face - bilateral 409.55
R656 LeFort III and subcranial hypertelorism correction* 2590.35
R657 LeFort III and LeFort I maxillary advancement* 2334.85
R658 LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement* 2928.1
R659 Upper LeFort III advancement without occlusal change* - unilateral 932.1
R675 Upper LeFort III advancement without occlusal change* - bilateral 1443.95
R676 Forehead advancement (bone grafts not included) - unilateral 1187.5
R677 Total cranial vault reshaping* 2078.35
R678 Hypertelorism correction - medial orbital wall osteotomies* 1228.7
R679 Hypertelorism correction - medial and lateral orbital wall osteotomies* 1612.3
R680 Late correction traumatic enophthalmos - intracranial 1997.05
R681 Late correction traumatic enophthalmos - extracranial 1443.95
Z234 Mandibular sequestrectomy 281.25
Z239 Application of dental arch bars, or splint, for facial osteotomy - one arch bar 133
Z240 Application of dental arch bars, or splint, for facial osteotomy - two arch bars 204.8
Z242 Bone - open 193
Z253 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - unilateral 394.8
Z254 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - bilateral 507.45
Z255 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - unilateral 394.8
Z256 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - bilateral 507.45
Z257 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - unilateral 337.85
Z258 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - bilateral 450.5
Z259 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - unilateral 450.5
Z260 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - bilateral 563.1
Z261 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - unilateral 450.5
Z262 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - bilateral 563.1
Z263 Harvesting of bone graft when not included - Iliac bone graft 102.35
Z264 Harvesting of bone graft when not included - Rib graft - one rib 154
Z265 Harvesting of bone graft when not included - Costochondral or chondral graft - one rib 230.65
Z266 Harvesting of bone graft when not included - Costochondral or chondral graft - split cranial graft 204.8
Z267 Augmentation of zygoma (bilateral) - with prosthetic implant 184.6
Z268 Augmentation of zygoma (bilateral) - with autogenous bone or cartilage* 230.65
Z269 Augmentation of chin - with prosthetic implant 154
Z270 Augmentation of chin - with autogenous bone or cartilage* 189.45
Z271 Augmentation of chin - Horizontal resection, red lower lip 184.6
Z339 Intercostal drainage with insufflation of sclerosing agent under general anaesthesia 182.9
Z354 Excisional biopsy of rib for tumour 142.2
Z869 Bone - punch, simple 48.5
Z870 Bone - punch, x-ray control 120.7

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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