OHIP Billing Codes

Specialty: Skull And Mandible

Code	Description	Anes	Asst	Fee
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D062	Dislocations - Temporomandibular joint - closed reduction	6		51.65
D063	Dislocations - Temporomandibular joint - open reduction	7	6	256.4
E173	Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation	7	6	594.7
E174	Fractures - Orbit - blowout fracture of floor	7	6	667
F136	Fractures - Nasal bones to include manipulation of nasal septum - closed reduction	6		102.35
F137	Fractures - Nasal bones to include manipulation of nasal septum - open reduction	10		316.35
F138	Mandible - closed reduction, includes maxillary-mandibular fixation	7	6	350
F139	Mandible - open reduction, per fracture, to include intermaxillary fixation	6	6	575
F140	Mandible - removal of intermaxillary fixation device(s)	0		100
F142	Fractures - Orbit with maxilla - with wiring and local fixation	7	6	685.2
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F143	Fractures - Midface fractures - middle 1/4 facial	8	6	577.65
F144	Fractures - Midface fractures - cranialfacial separation	10	6	1594.9
F150	Fractures - Orbit with maxilla - closed reduction and dental wiring	7		256.4
R145	Mandibular condylotomy	7	6	204.8
R278	Maxilla, with exenteration of orbit and skin graft	7	6	532.95
R279	Maxilla advancement	8	6	440.15
R280	Mandible	7	6	353.1
R284	Mandibular condyle	7	6	276.55
R334	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - partial	15	6	409.55
R335	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - complete	15	6	819.15
R347	Bicoronal flaps	0		200
R349	Posterior dento-alveolar osteotomy, maxilla - one side	15	6	803.8
R351	Posterior dento-alveolar osteotomy, maxilla - both sides, single segment	15	6	932.1
R354	Interdental wiring for temporomandibular joint disorder	7	6	154
R376	Hypertelorism correction - intracranial approach*	25	12	2334.85
R377	Hypertelorism correction - subcranial U osteotomies*	25	12	1950.15
R378	LeFort III total maxillary advancement*	25	12	2037.35
R379	LeFort I advancement - in one segment	20	10	803.8
R380	Orbital cranial osteotomy - intracranial approach	25	12	1495.5
R381	Orbital cranial osteotomy - extracranial approach	20	10	1121.5
R382	Anterior dento-alveolar osteotomy, maxilla or mandible - one segment	15	6	803.8
R383	Anterior dento-alveolar osteotomy, maxilla or mandible - two segments	15	6	932.1
R384	Mandibular osteotomies for prognathism - vertical ramus	15	6	932.1
R385	Posterior dento-alveolar osteotomy, maxilla - both sides, separate segments	15	6	1187.5
R386	Genioplasty - one segment	10	6	384.6
R387	Genioplasty - two segments, or for laterognathia	10	6	575.45
R388	Genioplasty - three segments	10	6	767.85
R389	LeFort II maxillary osteotomy and advancement*	20	10	1443.95
R390	Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts* (extracranial)	20	10	1699.45
R391	Orbital dystopia - intracranial approach	25	12	1950.15
R392	Orbital dystopia - intracranial approach	20	10	1485.1
R393	Forehead advancement (bone grafts not included) - bilateral	25	12	1443.95
R394	Cranial vault reshaping* anterior or posterior half	20	10	1525.3
R395	Construction glenoid fossa and zygomatic arch* (Obwegeser technique)	20	10	1402.75
R396	Construction absent condyle and ascending ramus*	10	6	803.8
R398	Medial transnasal canthopexy - unilateral	6	6	414.3
R399	Lateral canthoplasty - unilateral	6	6	204.8
R428	Temporomandibular meniscectomy	7	6	249.75
R433	Temporomandibular joint - unilateral	10	6	349.3
R462	Posterior dento-alveolar osteotomy, mandible - one side	15	6	803.8
R463	Posterior dento-alveolar osteotomy, mandible - both sides	15	6	1187.5
R480	Mandibular osteotomies for prognathism - subcondylar	7	6	420.1
R502	Total U dento-alveolar osteotomy - mandible	15	6	1228.7
R507	Total U dento-alveolar osteotomy - maxilla	15	6	1315.7
R511	Total U dento-alveolar osteotomy - Mandibular or maxillary visor osteotomy for alveolar hypoplasia	15	6	1146.4
R518	Mandibular osteotomies for prognathism - sagittal split	15	6	932.1
R520	Mandibular osteotomies for retrognathia, any technique - advancement - up to 10 mm	15	6	932.1
R529	Mandibular osteotomies for retrognathia, any technique - advancement - 10 to 20 mm, inclusive	15	6	1058.4
R531	Facial paralysis - static slings	6	6	307.15
R532	Facial paralysis - dynamic slings	6	6	399
R533	Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles	7	6	511.9
R535	Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm	15	6	1356.9
R538	LeFort I intrusion - in one segment	20	10	1059.35
R567	LeFort I extrusion - in one segment*	20	10	1315.7
R580	LeFort I cleft palate - in one segment*	20	10	1525.3
R588	Nasomaxillary osteotomy without LeFort I*	15	6	803.8
R609	Combined LeFort I and LeFort III osteotomy in hemifacial microsomia	20	10	1586.2
R618	Coronoidotomy	7	6	204.8
R644	Coronoidectomy	6	6	307.15
R645	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - partial	15	6	819.15
R646	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - complete	15	6	1023.95
R647	Oral vestibuloplasty - with secondary epithelization	6	6	204.8
R648	Oral vestibuloplasty - with skin graft	6	6	307.15
R649	Temporomandibular ankylosis - excision bone or fibrous block	7	6	461.3
R650	Temporomandibular ankylosis - with insertion of prosthetic device or muscle flap	13	6	511.9
R651	Temporomandibular ankylosis - with construction of condyle and ascending ramus*	15	6	666
R652	Removal intermaxillary fixation devices under general	6		102.35
R653	anaesthesia - as sole procedure	25	10	2196.35
R654	Pericranial flap to orbit or face - unilateral	6		307.15
R655	Pericranial flap to orbit or face - bilateral	7		409.55
R656	LeFort III and subcranial hypertelorism correction*	25	12	2590.35
R657	LeFort III and LeFort I maxillary advancement*	25	12	2334.85
R658	LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement*	25	12	2928.1
R659	Upper LeFort III advancement without occlusal change* - unilateral	10	6	932.1
R675	Upper LeFort III advancement without occlusal change* - bilateral	25	12	1443.95
R676	Forehead advancement (bone grafts not included) - unilateral	25	12	1187.5
R677	Total cranial vault reshaping*	25	12	2078.35
R678	Hypertelorism correction - medial orbital wall osteotomies*	20	10	1228.7
R679	Hypertelorism correction - medial and lateral orbital wall osteotomies*	20	10	1612.3
R680	Late correction traumatic enophthalmos - intracranial	25	12	1997.05
R681	Late correction traumatic enophthalmos - extracranial	20	10	1443.95
Z234	Mandibular sequestrectomy	7	7	281.25
Z239	Application of dental arch bars, or splint, for facial osteotomy - one arch bar	6	6	133
Z240	Application of dental arch bars, or splint, for facial osteotomy - two arch bars	7	6	204.8
Z242	Bone - open	7	6	193
Z253	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - unilateral	0		394.8
Z254	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - bilateral	0		507.45
Z255	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - unilateral	0		394.8
Z256	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - bilateral	0		507.45
Z257	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - unilateral	0		337.85
Z258	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - bilateral	0		450.5
Z259	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - unilateral	0		450.5
Z260	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - bilateral	0		563.1
Z261	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - unilateral	0		450.5
Z262	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - bilateral	0		563.1
Z263	Harvesting of bone graft when not included - Iliac bone graft	0		102.35
Z264	Harvesting of bone graft when not included - Rib graft - one rib	0		154
Z265	Harvesting of bone graft when not included - Costochondral or chondral graft - one rib	0		230.65
Z266	Harvesting of bone graft when not included - Costochondral or chondral graft - split cranial graft	0		204.8
Z267	Augmentation of zygoma (bilateral) - with prosthetic implant	0		184.6
Z268	Augmentation of zygoma (bilateral) - with autogenous bone or cartilage*	0		230.65
Z269	Augmentation of chin - with prosthetic implant	0		154
Z270	Augmentation of chin - with autogenous bone or cartilage*	0		189.45
Z271	Augmentation of chin - Horizontal resection, red lower lip	0		184.6
Z339	Intercostal drainage with insufflation of sclerosing agent under general anaesthesia	6	6	182.9
Z354	Excisional biopsy of rib for tumour	7	6	142.2
Z869	Bone - punch, simple	7		48.5
Z870	Bone - punch, x-ray control	6		120.7

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