OHIP Billing Codes

Specialty: Skull And Mandible

Code Description Fee
D062 Dislocations - Temporomandibular joint - closed reduction 52.7
D063 Dislocations - Temporomandibular joint - open reduction 261.55
E173 Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation 606.65
E174 Fractures - Orbit - blowout fracture of floor 680.4
F136 Fractures - Nasal bones to include manipulation of nasal septum - closed reduction 104.4
F137 Fractures - Nasal bones to include manipulation of nasal septum - open reduction 322.7
F138 Mandible - closed reduction, includes maxillary-mandibular fixation 357.05
F139 Mandible - open reduction, per fracture, to include intermaxillary fixation 586.55
F140 Mandible - removal of intermaxillary fixation device(s) 102
F142 Fractures - Orbit with maxilla - with wiring and local fixation 698.95

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F143 Fractures - Midface fractures - middle 1/4 facial 589.25
F144 Fractures - Midface fractures - cranialfacial separation 1626.95
F150 Fractures - Orbit with maxilla - closed reduction and dental wiring 261.55
R145 Mandibular condylotomy 208.9
R278 Maxilla, with exenteration of orbit and skin graft 543.65
R279 Maxilla advancement 449
R280 Mandible 360.2
R284 Mandibular condyle 282.1
R334 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - partial 417.8
R335 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - complete 835.6
R347 Bicoronal flaps 204
R349 Posterior dento-alveolar osteotomy, maxilla - one side 819.95
R351 Posterior dento-alveolar osteotomy, maxilla - both sides, single segment 950.85
R354 Interdental wiring for temporomandibular joint disorder 157.1
R376 Hypertelorism correction - intracranial approach* 2381.8
R377 Hypertelorism correction - subcranial U osteotomies* 1989.35
R378 LeFort III total maxillary advancement* 2078.3
R379 LeFort I advancement - in one segment 819.95
R380 Orbital cranial osteotomy - intracranial approach 1525.55
R381 Orbital cranial osteotomy - extracranial approach 1144.05
R382 Anterior dento-alveolar osteotomy, maxilla or mandible - one segment 819.95
R383 Anterior dento-alveolar osteotomy, maxilla or mandible - two segments 950.85
R384 Mandibular osteotomies for prognathism - vertical ramus 950.85
R385 Posterior dento-alveolar osteotomy, maxilla - both sides, separate segments 1211.35
R386 Genioplasty - one segment 392.35
R387 Genioplasty - two segments, or for laterognathia 587
R388 Genioplasty - three segments 783.3
R389 LeFort II maxillary osteotomy and advancement* 1472.95
R390 Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts* (extracranial) 1733.6
R391 Orbital dystopia - intracranial approach 1989.35
R392 Orbital dystopia - intracranial approach 1514.95
R393 Forehead advancement (bone grafts not included) - bilateral 1472.95
R394 Cranial vault reshaping* anterior or posterior half 1555.95
R395 Construction glenoid fossa and zygomatic arch* (Obwegeser technique) 1430.95
R396 Construction absent condyle and ascending ramus* 819.95
R398 Medial transnasal canthopexy - unilateral 422.65
R399 Lateral canthoplasty - unilateral 208.9
R428 Temporomandibular meniscectomy 254.75
R433 Temporomandibular joint - unilateral 356.3
R462 Posterior dento-alveolar osteotomy, mandible - one side 819.95
R463 Posterior dento-alveolar osteotomy, mandible - both sides 1211.35
R480 Mandibular osteotomies for prognathism - subcondylar 428.55
R502 Total U dento-alveolar osteotomy - mandible 1253.4
R507 Total U dento-alveolar osteotomy - maxilla 1342.15
R511 Total U dento-alveolar osteotomy - Mandibular or maxillary visor osteotomy for alveolar hypoplasia 1169.45
R518 Mandibular osteotomies for prognathism - sagittal split 950.85
R520 Mandibular osteotomies for retrognathia, any technique - advancement - up to 10 mm 950.85
R529 Mandibular osteotomies for retrognathia, any technique - advancement - 10 to 20 mm, inclusive 1079.65
R531 Facial paralysis - static slings 313.3
R532 Facial paralysis - dynamic slings 407
R533 Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles 522.2
R535 Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm 1384.15
R538 LeFort I intrusion - in one segment 1080.65
R567 LeFort I extrusion - in one segment* 1342.15
R580 LeFort I cleft palate - in one segment* 1555.95
R588 Nasomaxillary osteotomy without LeFort I* 819.95
R609 Combined LeFort I and LeFort III osteotomy in hemifacial microsomia 1618.1
R618 Coronoidotomy 208.9
R644 Coronoidectomy 313.3
R645 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - partial 835.6
R646 Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - complete 1044.55
R647 Oral vestibuloplasty - with secondary epithelization 208.9
R648 Oral vestibuloplasty - with skin graft 313.3
R649 Temporomandibular ankylosis - excision bone or fibrous block 470.55
R650 Temporomandibular ankylosis - with insertion of prosthetic device or muscle flap 522.2
R651 Temporomandibular ankylosis - with construction of condyle and ascending ramus* 679.4
R652 Removal intermaxillary fixation devices under general 104.4
R653 anaesthesia - as sole procedure 2240.5
R654 Pericranial flap to orbit or face - unilateral 313.3
R655 Pericranial flap to orbit or face - bilateral 417.8
R656 LeFort III and subcranial hypertelorism correction* 2642.4
R657 LeFort III and LeFort I maxillary advancement* 2381.8
R658 LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement* 2986.95
R659 Upper LeFort III advancement without occlusal change* - unilateral 950.85
R675 Upper LeFort III advancement without occlusal change* - bilateral 1472.95
R676 Forehead advancement (bone grafts not included) - unilateral 1211.35
R677 Total cranial vault reshaping* 2120.1
R678 Hypertelorism correction - medial orbital wall osteotomies* 1253.4
R679 Hypertelorism correction - medial and lateral orbital wall osteotomies* 1644.7
R680 Late correction traumatic enophthalmos - intracranial 2037.2
R681 Late correction traumatic enophthalmos - extracranial 1472.95
Z234 Mandibular sequestrectomy 286.9
Z239 Application of dental arch bars, or splint, for facial osteotomy - one arch bar 135.65
Z240 Application of dental arch bars, or splint, for facial osteotomy - two arch bars 208.9
Z242 Bone - open 196.9
Z253 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - unilateral 402.75
Z254 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - bilateral 517.65
Z255 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - unilateral 402.75
Z256 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - bilateral 517.65
Z257 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - unilateral 344.65
Z258 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - bilateral 459.55
Z259 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - unilateral 459.55
Z260 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - bilateral 574.4
Z261 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - unilateral 459.55
Z262 Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - bilateral 574.4
Z263 Harvesting of bone graft when not included - Iliac bone graft 104.4
Z264 Harvesting of bone graft when not included - Rib graft - one rib 157.1
Z265 Harvesting of bone graft when not included - Costochondral or chondral graft - one rib 235.3
Z266 Harvesting of bone graft when not included - Costochondral or chondral graft - split cranial graft 208.9
Z267 Augmentation of zygoma (bilateral) - with prosthetic implant 188.3
Z268 Augmentation of zygoma (bilateral) - with autogenous bone or cartilage* 235.3
Z269 Augmentation of chin - with prosthetic implant 157.1
Z270 Augmentation of chin - with autogenous bone or cartilage* 193.25
Z271 Augmentation of chin - Horizontal resection, red lower lip 188.3
Z339 Intercostal drainage with insufflation of sclerosing agent under general anaesthesia 186.6
Z354 Excisional biopsy of rib for tumour 145.05
Z869 Bone - punch, simple 49.45
Z870 Bone - punch, x-ray control 123.15

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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