OHIP Billing Codes
Specialty: Cranial
Code | Description | Fee | ||
---|---|---|---|---|
|
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N102 | Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial | 1900.3 | ||
E902
- lesion greater than 2 cm diameter - add
|
463.3 | |||
E903
- team fee for acoustic neuroma, same approach - add
|
627.05 | |||
N103 | Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - supratentorial | 1719.95 | ||
N104 | Craniotomy plus removal - supratentorial | 1254.7 | ||
N105 | Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel | 2527.25 | ||
E898
- lesion greater than 2.5 cm - add
|
289.5 | |||
E908
- removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation - add
|
310.4 | |||
E979
- clinoidal drilling for complex aneurysms - add
|
404.65 | |||
N106 | Cerebral vascular malformation - Craniotomy - supratentorial | 2046.35 | ||
E895
- of cerebral arteriovenous malformation greater than 4 cm - add
|
381.3 | |||
E901
- with operating microscope - add
|
239.35 | |||
N107 | Cerebral arteriovenous malformation - Endovascular approach for obliteration - Endovascular approach to include balloon catheter or embolization techniques for arteriovenous malformation | 1486.25 | ||
N108 | Carotid-cavernous fistula - Obliteration of intracranial dural arteriovenous fistula (including carotid cavernous fistula) to include craniotomy and combined cervical and intracranial procedure | 1254.25 | ||
N109 | Burr hole - Hemispherectomy | 1916.1 | ||
N110 | Burr hole - Lobectomy and/or excision of cortical scar for epilepsy | 2228.1 | ||
N111 | Pituitary lesion(s) - Transsphenoidal microscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s) | 1916.75 | ||
E886
- extended endonasal endoscopic approach - add
|
816.1 | |||
E887
- resection of pituitary lesion(s) extending beyond the sella turcica to the optic nerve(s), optic chiasm or hypothalamus - add
|
510.05 | |||
E892
- harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add
|
510.05 | |||
E893
- complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add
|
566.15 | |||
E905
- endonasal endoscopic or microscopic approach for surgical access to sella turcica - add
|
765.1 | |||
E919
- intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add
|
259.55 | |||
E921
- repeat cranial procedure payable in addition to any intracranial procedure - add
|
267.4 | |||
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N112 | Surgeon not rendering resection of lesion(s) - Endonasal endoscopic or microscopic approach for surgical access to sella turcica | 1387.35 | ||
E886
- extended endonasal endoscopic approach - add
|
816.1 | |||
E892
- harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add
|
510.05 | |||
E893
- complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add
|
566.15 | |||
N113 | Burr hole - Craniotomy for brain biopsy (other than for tumour) | 1039.65 | ||
N114 | Pituitary lesion(s) - Transsphenoidal endonasal endoscopic resection of lesion(s) originating in the sella turcica requiring simple closure, repair and/or reconstruction of surgical defect(s) | 1777.45 | ||
E886
- extended endonasal endoscopic approach - add
|
816.1 | |||
E887
- resection of pituitary lesion(s) extending beyond the sella turcica to the optic nerve(s), optic chiasm or hypothalamus - add
|
510.05 | |||
E889
- complex endonasal endoscopic resection from cranial nerves - add
|
530.45 | |||
E891
- complex endonasal endoscopic resection from frontal or temporal lobe or brainstem - add
|
530.45 | |||
E892
- harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add
|
510.05 | |||
E893
- complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add
|
566.15 | |||
E905
- endonasal endoscopic or microscopic approach for surgical access to sella turcica - add
|
765.1 | |||
E919
- intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add
|
259.55 | |||
E921
- repeat cranial procedure payable in addition to any intracranial procedure - add
|
267.4 | |||
N115 | Burr hole - aspiration | 590.5 | ||
N116 | Non-pituitary lesion(s) - Endonasal endoscopic resection of nonpituitary lesion(s) not originating from pituitary tissue requiring simple closure, repair and/or reconstruction of surgical defect(s) | 2288.55 | ||
E886
- extended endonasal endoscopic approach - add
|
816.1 | |||
E888
- resection of nonpituitary lesion(s) involving the sellar region that extends to the optic nerve(s), optic chiasm or hypothalamus - add
|
510.05 | |||
E889
- complex endonasal endoscopic resection from cranial nerves - add
|
530.45 | |||
E891
- complex endonasal endoscopic resection from frontal or temporal lobe or brainstem - add
|
530.45 | |||
E892
- harvesting of pedicled vascular flap(s) greater than 3cm in size for use in complex endoscopic closure, repair and/or reconstruction of surgical defect(s) - add
|
510.05 | |||
E893
- complex closure, repair and/or reconstruction of surgical defect(s) - includes duroplasty when rendered - add
|
566.15 | |||
E905
- endonasal endoscopic or microscopic approach for surgical access to sella turcica - add
|
765.1 | |||
E919
- intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add
|
259.55 | |||
E921
- repeat cranial procedure payable in addition to any intracranial procedure - add
|
267.4 | |||
N117 | Craniotomy | 1444.95 | ||
N118 | Carotid-cavernous fistula - Endovascular approach to include balloon catheter or embolization techniques for dural arteriovenous fistula including carotid cavernous fistula | 971.2 | ||
N119 | Functional stereotaxy - Intracranial implantation of chronic surface electrodes | 1209.1 | ||
N120 | Craniotomy plus removal - Burr hole plus drainage | 491.6 | ||
N121 | Cerebral vascular malformation - Extracranial-intracranial long venous bypass (from internal carotid in the neck or any of the trunk vessels in the neck or chest to a major intracerebral vessel, i.e. vertebral, internal carotid, middle cerebral) | 1745.8 | ||
N122 | Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel | 2183.15 | ||
E894
- aneurysm greater than 2.5 cm - add
|
234.15 | |||
N123 | Burr hole - Stereotaxis intracranial (to include ventriculography) | 570.85 | ||
E896
- sophisticated microelectrode recording during stereotaxis - add
|
408.45 | |||
E931
- with implantation (and removal) of radioactive sources into brain tumour - add
|
227.35 | |||
N124 | Functional stereotaxy | 2081.15 | ||
N125 | Intracranial aneurysm repair - Endovascular approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen | 2183.15 | ||
E894
- aneurysm greater than 2.5 cm - add
|
234.15 | |||
N126 | Burr hole - Intraoral approach to lesions of the skull base and upper cervical spine | 1471.95 | ||
N127 | Burr hole - Re-opening of craniotomy for postoperative haematoma or for removal of bone flap | 529.3 | ||
N128 | Burr hole - Repair of encephalocoele | 943.3 | ||
N129 | Burr hole - Posterior fossa decompression for Arnold Chiari malformation | 1310.8 | ||
E901
- with operating microscope - add
|
239.35 | |||
N130 | Burr hole - Craniotomy plus midline commissurotomy | 1035.25 | ||
N139 | Reduction of skull fracture - simple, depressed | 647.65 | ||
N140 | Reduction of skull fracture - compound | 913 | ||
E912
- with repair of dural laceration - add
|
238 | |||
N143 | Extracerebral haematoma and/or hygroma - Drainage by burr hole(s) unilateral | 660.8 | ||
N144 | Extracerebral haematoma and/or hygroma - Drainage and/or removal by craniotomy | 1019.4 | ||
N148 | Removal of intracerebral haematoma and/or debridement of traumatized brain (includes management of any skull fracture) | 1228.85 | ||
N149 | Removal of foreign body from brain | 987.95 | ||
N150 | C.S.F. leak - intracranial repair (to include trans-sphenoidal approach) | 1086.85 | ||
N151 | Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - infratentorial | 1900.3 | ||
N152 | Craniotomy plus excision - Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour - Craniotomy plus lobectomy | 1607.45 | ||
E901
- with operating microscope - add
|
239.35 | |||
N153 | Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - infratentorial or basal | 2580.65 | ||
E901
- with operating microscope - add
|
239.35 | |||
E902
- lesion greater than 2 cm diameter - add
|
463.3 | |||
E903
- team fee for acoustic neuroma, same approach - add
|
627.05 | |||
N154 | Intracranial aneurysm repair - Craniotomy approaches - Vertebrobasilar circulation, including aneurysm of vein of Galen | 2527.25 | ||
E898
- lesion greater than 2.5 cm - add
|
289.5 | |||
E901
- with operating microscope - add
|
239.35 | |||
E908
- removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation - add
|
310.4 | |||
E979
- clinoidal drilling for complex aneurysms - add
|
404.65 | |||
N155 | Cerebral vascular malformation - Craniotomy - infratentorial | 2055.5 | ||
E895
- of cerebral arteriovenous malformation greater than 4 cm - add
|
381.3 | |||
E901
- with operating microscope - add
|
239.35 | |||
N156 | Cerebral vascular malformation - Occipital artery | 1254.25 | ||
E904
- posterior fossa - add
|
245.85 | |||
N157 | Craniotomy plus removal - infratentorial | 1416.3 | ||
N158 | Craniotomy plus evacuation - supratentorial | 987.95 | ||
N159 | Craniotomy plus evacuation - infratentorial | 1086.45 | ||
N160 | Craniotomy plus evacuation - Burr hole plus aspiration | 435.55 | ||
N161 | Repair of skull defect - Acrylic or metal cranioplasty | 612.95 | ||
N162 | Morcellation procedure - one suture | 439.4 | ||
N163 | Morcellation procedure - multiple sutures | 627.05 | ||
N164 | Lateral canthal advancement - Unilateral - one surgeon | 710.35 | ||
N165 | Lateral canthal advancement - Unilateral - two surgeons, major portion | 439.4 | ||
N166 | Lateral canthal advancement - Unilateral - two surgeons, lesser portion | 352.3 | ||
N167 | Lateral canthal advancement - Bilateral - one surgeon | 971.7 | ||
N168 | Lateral canthal advancement - Bilateral - two surgeons, major portion | 627.05 | ||
N169 | Lateral canthal advancement - Bilateral - two surgeons, lesser portion | 470.35 | ||
N174 | Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - includesremoval of existing shunt | 597.7 | ||
N183 | Nerve graft - minor (sensory/cutaneous nerve) | 480.5 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
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E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
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N200 | Decompressive craniectomy (frontal, subtemporal) | 753.45 | ||
N201 | Repair of skull defect - Rib graft cranioplasty (defect less than 7.5 cm) | 873 | ||
N202 | Repair of skull defect - Replacement of bone flap | 551.8 | ||
N203 | Repair of skull defect - Skull tumour, excision | 416.5 | ||
N206 | Craniosynostosis, linear craniectomy - one suture | 439.4 | ||
N207 | Craniosynostosis, linear craniectomy - multiple sutures | 574.85 | ||
N208 | Craniotomy - for craniofacial repair | 936.6 | ||
E922
- with repair of frontonasal encephalocele - add
|
219.7 | |||
N211 | Craniotomy - plus removal of orbital tumour | 1139.05 | ||
N212 | Craniotomy - plus orbital decompression (roof of orbit with or without lateral wall) | 1066.45 | ||
N213 | Craniotomy - for decompression of optic nerve(s) | 1139.05 | ||
E901
- with operating microscope - add
|
239.35 | |||
N218 | Cerebral vascular malformation - Extracranialintracranial microvascular anastomosis superficial temporal artery | 1391.45 | ||
N223 | Vertebral endarterectomy | 814.85 | ||
N230 | CSF shunting procedures - all types | 1048.05 | ||
N245 | Revision of CSF shunt - operative - all types | 597.7 | ||
N246 | Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Removal of shunt any type | 295.5 | ||
N249 | Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Third ventriculostomy | 1106.05 | ||
N258 | Percutaneous coagulation or glyceral injection of gasserian (trigeminal) ganglion or root - unilateral | 515.1 | ||
N259 | V - Decompression or rhizotomy (partial or complete) trigeminal nerve | 685.25 | ||
N265 | VII - Differential section facial nerve for hemi-facial spasm (extracranial approach) | 355.3 | ||
N266 | Anastomosis hypoglossal or accessory to facial nerve | 742.45 | ||
N267 | Occipital and/or suboccipital craniectomy for compression, decompression or section of cranial nerves | 1306.65 | ||
E901
- with operating microscope - add
|
239.35 | |||
N269 | XI - Division of nerves to sternomastoid in neck | 298.1 | ||
N282 | Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Brachial plexus (excluding thoracic outlet syndrome or cervical rib) | 1020.1 | ||
N283 | Decompression, exploration for thoracic outlet syndrome including excision of cervical and/or first rib and to include scalenotomy | 396.85 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
N286 | Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve | 324.25 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E911
- implantation of neuroma into bone or muscle - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
N287 | Nerve suture - major (mixed sensory and motor nerve, or pure motor nerve) | 510.05 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
N288 | Nerve graft - major (mixed sensory and motor nerve, or pure motor nerve) | 946.2 | ||
E899
- for each additional cable - add
|
104.5 | |||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
N289 | Nerve suture - minor (sensory/cutaneous nerve) | 255.05 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
N290 | Decompression median nerve at wrist (carpal tunnel syndrome) | 159.9 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
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N295 | Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous nerve tumour | 112.15 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E911
- implantation of neuroma into bone or muscle - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
Z801 | Revision of CSF shunt - non-operative | 52.55 | ||
Z802 | Ventricular puncture through previous burr hole or fontanelle or puncture and/or aspiration of cisterna | 83.3 | ||
Z803 | Subdural tap(s) - unilateral | 54.15 | ||
Z807 | Removal of Selverstone clamp | 271.95 | ||
Z808 | Progressive carotid occlusion by Selverstone clamp | 324.25 | ||
Z809 | Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Insertion of CSF reservoir (Ommaya) including burr holes | 437.5 | ||
Z811 | Intravenous drug test for pain | 55.2 | ||
Z812 | Ventriculoscopy - Subsequent revisions or replacements within 30 days - Each | 285.15 | ||
Z813 | Burr hole - plus needling of brain for biopsy | 572.1 | ||
Z815 | Temporal artery - biopsy, ligation or cryosurgery | 204 | ||
Z816 | Implantation of electrode for peripheral nerve stimulation | 245.85 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
Z818 | Burr hole - subsequent aspiration through existing burr hole within 30 days | 219.7 | ||
Z820 | Ventriculoscopy - Insertion of intracranial catheter or transducer for purposes of monitoring | 375.35 | ||
Z821 | Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) - Injection of diagnostic or therapeutic agent into shunt apparatus | 54.15 | ||
Z823 | Functional stereotaxy - Implantation or revision of stimulation pack or leads (peripheral nerve, brain) | 412.45 | ||
E906
- basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
|
||||
E925
- basic fee for a repeat peripheral nerve procedure, (e.g. repair, transposition, graft or tumour excision) when repair delayed for more than 4 weeks - add 30%
|
||||
Z824 | Functional stereotaxy - Removal of chronic surface or depth electrodes | 271.95 | ||
Z825 | Ventriculoscopy - to include burr hole | 745.9 | ||
E916
- with biopsy - add
|
238 | |||
E917
- with interventriculostomy - add
|
307.75 | |||
E918
- with removal of foreign body - add
|
135.45 | |||
Z826 | Inferior dental neurectomy | 187.7 | ||
Z827 | Infraorbital or supraorbital neurectomy | 161.65 |
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
-
- Family Practice & Practice In General (00)
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- Rheumatology (48)
- Clinical Immunology (62)
- Cardiology (60)
- Hematology (61)
- Nuclear Medicine (63)
- General Thoracic Surgery (64)
- Family Practice And Practice In General (00)
- Emergency Medicine
- Internal And Ocucpational Medicine (13)
- Infection Disease (46)
-
- Head And Neck
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- 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
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- Otolaryngology
- Electrocardiography (ECG)
- Cardiovascular
- Nerve Blocks - Interventional Pain Injections
- Non-Invasive Cardiography
- Neurology
- Gastroenterology
- Allergy
- Urology
- 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
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- Other Premiums
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- Emergency Department Sessional Fees
- Emergency Department By Emergency Department Physician
- General Information
- Special Visit Premiums - Long-Term Care Institution
-
- 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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