OHIP Billing Codes

Specialty: All

Code Description Fee
C101 Intensive or Coronary Care Unit Premium 9.3
C102 Travel Premium - Evenings (17:00 - 24:00) Monday through Friday 37.15
C103 Travel Premium - Sat., Sun. and Holidays (07:00 - 24:00) 37.15
C104 Travel Premium - Nights (00:00 - 07:00) 37.15
C105 Additional Person(s) Seen - Evenings (17:00 - 24:00) Monday through Friday 61.2
C106 Additional Person(s) Seen - Sat., Sun. and Holidays (07:00 - 24:00) 76.5
C107 Additional Person(s) Seen - Nights (00:00 - 07:00) 102
C108 First Person Seen - Evenings (17:00 - 24:00) Monday through Friday 76.5
C109 First Person Seen - Sat., Sun. and Holidays (07:00 - 24:00) 61.2
C110 First Person Seen - Nights (00:00 - 07:00) 102

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E041 - intramedullary nail with distal and proximal locking screws tibia - add 83.2
E048 - intramedullary nail with distal and proximal locking screws femur - add 110.95
E049 - each additional - add 88.95
E050 - each additional - add 78.6
E051 - each additional - add 250.85
E052 - each additional - add 265.05
E053 - each additional - add 96.5
E054 - each additional - add 240.85
E055 - each additional - add 96.5
E056 - each additional - add 93.75
E057 - revision/repair following previous rotator cuff surgery - add 30%
E058 - revision/repair following previous glenohumeral joint surgery - add 30%
E059 - revision/repair following previous reconstruction of knee ligaments - add 30%
E060 - post renal transplant assessment premium - add 25%
E069 - preparation of a contracted recipient site - add 137.45
E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
E090 - removal of one or both ovaries with moderate or severe endometrosis - add 266.05
E136 - with intraocular implant of seton - add 295.85
E233 - when done in conjunction with another procedure - add 156.35
E360 - each additional level decompression - add 312.15
E361 - each additional level decompressed including disc excision - unilateral or bilateral - add 260.15
E362 - combined thoracotomy/laparotomy - add 156.1
E363 - one disc level - add 364.2
E364 - each additional disc level fused - add 104.05
E365 - one disc level - add 780.4
E366 Each additional disc level fused 156.1
E367 - one disc level - add 260.15
E368 - first disc excision - add 312.15
E369 - one disc level - add 260.15
E370 One disc level - below C2 884.45
E370A One disc level
E371 - fusion to occiput - add 832.4
E372 - one disc level - add 520.25
E373 - for repeat decompression - add 30%
E374 - foramen magnum decompression < 3cm as part of cervical decompression - add 364.2
E375 - for repeat fusion - add 30%
E376 - each additional disc level stabilized - add 260.15
E377 - cervicothoracic junction - add 260.15
E378 - 3D stereotactic spinal procedure - add 520.25
E379 - 2D stereotactic spinal procedure - add 520.25
E380 - each additional level - laminoplasty (includes fixation of lamina) - add 364.2
E382 - spinal duroplasty using autologous/allogenic/synthetic tissue - add 249.7
E383 - acute spinal cord injury premium - add 260.15
E384 - C1/C2 screw fixation (transarticular, pedicle, lateral mass) - add 1040.5
E385 - each additional level of percutaneous discotomy - add 72.85
E386 - extradural decompression - spinal cord or cauda equina - tumour or infection - add 42%
E387 - fusion to sacrum - add 156.1
E388 - vertebroplasty combined with any other procedure, first level, to other procedure - add 208.1
E389 - each additional level of scoliosis correction over six levels, to N540 - add 104.05
E390 - halo fixation/traction pre- or peri-operative, to N539 or N540 - add 260.15
E391 - vertebroplasty, each additional level, to N570 or E388 - add 258.05
E392 - kyphoplasty combined with any other procedure, first level, to other procedure - add 520.25
E393 - kyphoplasty, each additional level - add 520.25
E394 - each additional level replaced - add 780.4
E395 - open reduction, additional level, spine fracture/ dislocation, anterior/posterior - add 312.15
E396 - eachadditional site - add 72.85
E411 - sole delivery (max 25/yr/physician) - add 100%
E414 - high risk obstetrical premium - add 63.3
E423 - manual cycloplegic refraction, to A233 or A234 - add 25.5
E430 - when papanicolaou smear is performed outside of hospital - add 12.2
E431 - when papanicolaou smear is performed outside of hospital - add 12.2
E440 - with injection of contrast using fluoroscopy - add 30.6
E441 - when performed at same level of previous spinal surgery - add 16.95
E442 - when performed using a transforaminal technique - add 20.4
E443 - with catheter for continuous infusion - add 81.6
E444 - with radiofrequency ablation - add 50%
E445 - when alcohol or other sclerosing solutions are used - add 50%
E446 - peripheral joint injection using image guidance following a failed blind attempt - add 30.6
E450 - J315 plus J301 or J304 before and/or after exercise - add 8.2
E451 - J315 plus 12 lead e.c.g. done at rest, used for monitoring - add 25.55
E476 - removal of symptomatic loose body(ies) and/or screw - add 195.85
E477 - arthroscopy of subtalar and/or intratarsal joint(s), through separate portals - add 195.85
E478 - pinning of osteochondral fragment - add 256.6
E479 - arthroscopy of midcarpal and/or distal radioulnar joint, through separate portals - add 195.85
E480 - triangular fibrocartilage complex repair - add 357.7
E481 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add 510.05
E482 - soft tissue capsular release, for contractures, without bone procedure - add 256.6
E483 - synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add 333.1
E484 - superior labral anterior posterior (SLAP) repair - add 343.4
E485 - arthroscopic capsular release for frozen shoulder - add 245.35
E487 - resection of labrum - add 244.8
E488 - resection of labrum - add 357.05
E489 - microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add 255.05
E490 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add 510.05
E491 - lateral release - add 164.7
E492 - for diseased synovium, anterior, posterior or complete- add 235.95
E494 - 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty - add 305
E495 - menisectomy, partial or total, for symptomatic meniscal tear - add 245.3
E496 - repair medial or lateral meniscus, includes when rendered debridement of attachment site - add 343.4
E497 - pseudoarthrosis/non-union/avascular necrosis - pedicled vascularized bone graft - add 537
E499 - for the second caesarian delivery - add 405.75
E500 - for the third and each subsequent delivery, subject to the payment rules set out below, for each additional delivery - add 151.6
E501 - with nasal cartilage realignment - add 310.4
E503 - each additional - add 27.4
E504 - each additional - add 22.65
E505 - with limited axillary node sampling - add 181.65
E508 - each additional joint, to D028 - add 86.7
E509 - conduit to aorta or common iliac artery - add 821.85
E510 - for branched or fenestrated devices - add 855
E511 - additional midtarsal(s) - add 102
E512 - additional midtarsal(s) - add 102
E513 - Breast mound creation by soft tissue, includes flap insetting and shaping for autogenous reconstruction - add 303.5
E514 - Immediate breast reconstruction following mastectomy, to R125, R064, R156, R008 or R155 - add 204
E515 - Incision of abscess or hematoma when performed as sole procedure under general anaesthetic in an operating room but not in an emergency department or emergency department equivalent - add 100%
E523 - same surgeon, to other procedure - add 327.45
E524 - one or more additional cuts - add 278.95
E525 - after localization with mammographic wire or radioactive seeds - add 49
E527 - additional expander, same incision - add 60.15
E528 - additional expander, different incision - add 263.7
E529 - with breast mound creation by prosthesis - add 104.5
E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add
E532 - both tibial plateaus, same knee - add 50%
E537 - each additional digit - add 168.5
E538 - each additional - add 38.75
E539 - with osteotomy of malleolus - add 120.2
E540 - if excision is performed in hospital for tumour free margin with frozen section - add 25%
E541 - each additional expander (to a maximum of 3) 11.8
E542 - when performed outside hospital - add 11.8
E543 - use of disposable EMG hypodermic electrode outside hospital (maximum of one per patient per day), to G877 or G878 - add 31.2
E544 - Cast-bracing w/ closed reduction to closed reduction fee - add 40%
E545 - when performed outside hospital - add 11.8
E546 - with axillary node dissection up to the level of the axillary vein - add 396.55
E550 - wound care - insertion of closed irrigation system during a surgical procedure for postoperative management - add 64.4
E551 - separate incision - add 88.05
E552 - same incision - add 59.6
E553 - banked bone or bone substitutes - add 25.65
E554 synovectomy requiring a minimum of 30 minutes to resect, to R236, R240, R241, R244, R281, R288, R436, R437, R438, R439, R440, R441, R443, R453, R454, R456, R479, R481, R482, R483, R485, R486, R487, R488, R491, R493, R496, R497, R498, R499, R500, R509, R510 178.5
E555 - rigid external fixation for closed reduct to closed reduction fee - add 50%
E557 - when done in conjunction with another procedure - add 157.1
E558 - each additional - add 22.7
E559 - each additional - add 145.75
E560 - each additional - add 12.3
E561 - each additional - add 15.2
E564 - revision of arthroplasty - add 35%
E569 - percutaneous pinning, to closed reduction fee - add 50%
E571 - more than one - add 151.75
E575 - each additional - add 42.55
E576 - each additional - add 10.45
E577 - each additional - add 10.45
E578 - each additional - add 10.45
E579 - each additional - add 10.45
E580 - each additional - add 72.4
E581 - each additional - add 131.55
E582 - when testing with penicillin minor determinant mixture outside a hospital setting, to G196 - add 32.85
E583 - each additional - add 96.5
E584 - application of plaster cast outside hospital - add 11.35
E585 - each additional - add 48.25
E586 Amputation with immediate fitting to include supervision of final limb fitting, add 40%
E587 - each additional - add 42.55
E588 - for apertognathia or laterognathia - add 261.55
E589 - acetabular or femoral - bone graft to acetabulum - add 103.3
E590 - rigid external fixation pseudoarthrosis - add 77.65
E591 - each additional - add 161.85
E592 more than one, to R536 - add 135.7
E593 - acetabular reconstruction (extensive, including bone grafts) - add 197.9
E594 - each additional hammer toe - add 42.55
E596 - each additional - add 42.55
E597 - with meloplasty - add 88.8
E598 - with associated patellar replacement or patelloplasty - add 96.5
E599 - each additional - add 88.95
E600 - using operating microscope to charges for laryngoscopy - add 34.3
E601 - for each additional rib (more than 3) to a maximum of 3 additional - add 58.65
E602 - with sternal resection - add 181.55
E603 - with fluorescein injection 51.9
E604 - for fixation of each additional rib exceeding four ribs - add 56.7
E605 - for each additional rib (more than 3) to a maximum of 3 additional - add 56.7
E607 - re-operation more than 30 days subsequent to previous excision, to appropriate excision fee - add 155.35
E608 - each additional wedge resection of lung (to a maximum of 3) - add 85.85
E609 - with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad - add 124.15
E610 - with myovascular flap (pectoralis major, latissimus dorsi, rectus abdominus) - add 269.1
E611 with resection of diaphragm and direct suture closure to M138, M142, M143, M144, M145, M151, M149 147.9
E612 - total extrapleural pneumonectomy - add 345.15
E613 - sleeve pneumonectomy - add 253.4
E614 - omental graft - add 165.7
E615 - intra-pericardial dissection - add 123.25
E616 - bi-lobectomy on right side - add 144.95
E617 - with pleural tent - add 80.4
E618 - with decortication of remaining lobe(s) - add 124.3
E619 - sleeve lobectomy - add 165.7
E620 - with wedge bronchoplasty - add 80.4
E621 - with diagnostic wedge resection - add 46.75
E622 - any bronchoscopic procedure for patients under 3 years of age - add 81
E623 - repeat operation after 30 days - add 423.5
E624 - with completion pneumonectomy for positive resection margin - add 113.45
E625 - with sleeve resection of pulmonary artery - add 145.05
E626 - with implantation of inferior mesenteric artery - add 177.85
E627 - ruptured aneurysm - add 408.05
E628 - each additional lead extraction - add 198.4
E629 - endoscopic placement of stent in duodenum - add 139.8
E630 - endoscopic placement of stent in colon, - add 139.8
E631 with resection of cricoid to M099 320.5
E632 - with removal of foreign body - add 69.75
E633 - with dilatation of stricture - add 45.45
E634 - with selective endobronchial blocker or catheter insertion - add 53.05
E635 - with palliative endobronchial tumour resection including laser or cryotherapy - add 68.55
E636 - with bronchoalveolar lavage for diagnosis of malignancy or diagnosis and/or treatment of infection and includes obtaining specimens suitable for differential cellular analysis - add 51
E637 - with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site - add 78
E638 - with transbronchial lung biopsy under image intensification only - add 83.55
E639 - with anterior cricoid split - add 80.1
E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add 183.15
E641 - endoscopic placement of stent in rectum - add 139.8
E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap - add 121.6
E643 - when using laser with microlaryngoscopy for benign disease - add 124.1
E644 - radical mediastinal node dissection following preoperative chemotherapy and/or radiotherapy - add 211.6
E645 - off pump coronary artery bypass grafting - add 378.45
E646 - vein patch angioplasty of coronary artery - add 191.55
E647 - patch aortoplasty with pericardium or graft - add 270
E648 excision of extensive endocardial scar, to ventriculotomy or aneurysm repair to R747 138.55
E649 - embolectomy and/or thrombectomy when done in conjunction with other vascular procedures - add 114.7
E650 - includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run - add 378.45
E651 - when done in conjunction with coronary artery repair - add 206.1
E652 - use of internal mammary or epigastric or radial artery for construction of bypass graft - add 191.65
E653 - plus stripping - add 129.7
E654 - each additional - add 192.65
E655 - reoperation for failed vascular grafts for repair or replacement of existing prosthesis (more than one month after original operation) - add 355.7
E656 - aortic annuloplasty (reconstruction and enlargement of aortic annulus) - add 294.65
E657 - plus I.V.C. ligation - add 455.45
E658 - HIS Bundle ablation - add 283.7
E659 - with thoracotomy - add 172.4
E660 epicardial E.P.S. mapping to R714 188.85
E661 - endocardial E.P.S. mapping - add 188.85
E662 - with intraductal cytology brushing or intraductal biopsy - add 50.75
E663 - when done in conjunction with other cardiac surgery - add 186.7
E664 - closure of duodenum - add 129.6
E665 - endarterectomy, with or without bypass graft - with patch graft - add 427.4
E666 - with biliary tract manometry - add 53.35
E667 - ruptured - add 271.95
E668 - with cannulation of minor papilla - add 95.7
E669 - with oesophagoscopygastroscopy and may include duodenoscopy - add 104.8
E670 - following previous thoracotomy - add 229.2
E671 - following previous sternotomy - add 554.55
E672 - composite femoral popliteal/tibial bypass (vein PFPE, dacron) - add 136.1
E673 Lysis of extensive intra-abdominal adhesions - add 63.3
E674 - with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add 145.25
E675 - with snare polypectomy each additional polyp > 1 cm (maximum 2) - add 75
E676 Morbidly obese patient, surgeon, to procedural fee - add 25%
E677 - transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes - add 106.1
E678 - TBNA of lung mass - add 106.1
E679 - with vein graft harvest remote from site of bypass and only when saphenous vein is unavailable - add 126.6
E680 - with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) - add 84
E681 - with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) - add 44.5
E682 - axillary artery graft for cardiopulmonary bypass, to E650 - add 432.35
E683 - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28%
E684 - when performed in infant or child - add 218.4
E685 - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add 232.25
E686 - within each other abdominal quadrant, or the pelvis (if the initial abscess was not in the pelvis) - add 147
E687 - with laser debulking - add 71.2
E688 - with laser debulking - add 71.2
E690 - with removal of foreign body(ies) - add 44.75
E691 - requiring mobilization of abdominal wall musculature - add 182
E692 - with laser debulking - add 71.1
E693 - with repair of ruptured bladder - add
E694 - with nephrectomy - add
E696 - with dilatation of oesophagus - add 31.25
E697 - with repair of MalloryWeiss laceration - add 145.25
E698 - with pneumatic or balloon dilation - add 71.1
E700 - each additional tooth - add 13.65
E702 - with multiple (3 or more) biopsies of specific lesion - add 15.4
E703 - with snare polypectomy first polyp (> 1 cm) - add 51.5
E704 - with choledochoscopy - add 47.45
E705 - into terminal ileum - add 30.9
E706 - with choledochotomy - add 124.5
E707 - when done with another intraabdominal procedure 72.2
E708 - with vagotomy - add 124.5
E709 - with cholecystectomy - add 124.5
E710 - each additional biopsy - add 46.45
E711 - after previous gastroenterostomy - add 108.7
E712 - after previous vagotomy and pyloroplasty - add 113.35
E713 - after previous partial gastrectomy - add 140.3
E714 - repair of enterocutaneous fistula in conjunction with bowel resection - add 84
E715 - more than three cysts or abscess(es) - add 76.4
E716 - either of above plus vagotomy - add 150.25
E717 - if biopsy and/or coagulation of angiodysplastic lesion(s) (one or more) - add 27.6
E718 - bowel resection following previous resection with anastomosis - add 145.25
E719 - each additional polyp (maximum of 4) - add 24.75
E720 - each additional polyp greater than or equal to 3mm (maximum of 2) - add 79.05
E721 - with choledochotomy - add 124.5
E722 - with transduodenal sphincterotomy - add 165.95
E723 - with repair of lacerated spleen - add 290.5
E724 - administration of chemotherapy or sclerosing agent - add 23.7
E725 - recurrent all types, except oesophageal - add 132.6
E726 - repeat recurrent inguinal hernia (more than 2 repairs) - add 230.55
E727 - hydrocele extra applicable to adults only - add 67.2
E728 - with truncal or selective vagotomy - add 171
E729 - with highly selective vagotomy - add 290.45
E730 Total thoracic oesophageal resection - with reconstruction - add 755.85
E731 Gastrotomy - with removal of tumour or foreign body - with suture of bleeding peptic ulcer - add 252
E732 - with biopsy - add 29.7
E733 - with repair of intestine single - add 145.25
E734 - multiple and/or with resection - add 215.4
E735 - with splenectomy (partial or complete) - add 290.45
E736 - with repair of lacerated liver - add 191.7
E737 - when done with another intraabdominal procedure - add 84
E738 - with continent ileostomy - add 395.2
E739 - with repair of diaphragm - add 124.5
E740 - to splenic flexure - add 52.8
E741 - to hepatic flexure - add 31.8
E742 - when S091 or S092, with or without gastroplasty, is done in conjunction with cholecystectomy, and/or vagotomy with or without drainage procedures - add 221.7
E743 - with enteroenterostomy - add 156.15
E744 - with gastroplasty - add 118.15
E745 - insertion of tubes and postoperative continuous peritoneal lavage when combined with any other abdominal procedure - add 96.75
E746 - when performed outside hospital - add 5.95
E747 - to cecum - add 31.8
E748 - with repair of umbilical hernia - add 124.5
E749 - when rendered in private office - add 22.8
E750 - when done in conjunction with another procedure - add 26.55
E751 - with insertion of chemotherapeutic agent(s) - add 55.8
E752 - with repeat surgery on kidney at least 30 days after previous kidney surgery - add 84.9
E753 - live donor - add 159.45
E754 - with removal of calculus - add 58.65
E755 - with inflatable prosthesis - add 70.7
E756 - with resection of strangulated contents - add 25
E757 - without resection of strangulated contents - add 56.35
E758 - with oesophageal hiatus hernia repair - add 221.7
E759 - if disintegrated by any method - add 97.9
E760 - with removal of calculus - add 171.2
E761 - intracorporeal lithotripsy by any method - add 97.9
E762 - reconstruction or repair of renal artery done in addition torenal transplantation procedures 307.1
E764 - umbilical hernia repair when done in conjunction with other abdominalsurgery, to other surgery - add 24.7
E765 - with reconstruction or repair of the hepatic artery (i.e. reanastomosis or conduit), to liver transplant fee - add 306.5
E766 - with gland dissection - add 30.3
E767 - with repair of vena cava for thrombus - below the hepatic vein - add 140.95
E768 - with repair of vena cava for thrombus above the hepatic vein - add 241.45
E769 - team fee (not to be billed when assistant fees are billed) - add 265.3
E770 - with duodenoscopy and drainage of bile after I.V. CCK stimulation - add 23.55
E771 - team fee (not to be billed when assistant fees are billed) - add 350.3
E772 - percutaneous removal of staghorn calculus filling renal pelvis and extending into calyces - add 179.05
E773 - with placement of ureteric stent past obstructing lesion (unilateral)- add 50.9
E775 - with catheterization of the ureter and collection of the ureteral specimen, unilateral - add 15.65
E776 - with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder- add 25.4
E777 - with cystometrogram (to include urethral pressure profile if necessary)- add 11.75
E780 - with needle biopsy of prostate - add 33.25
E781 - with electrocoagulation tumour(s)- add 50.9
E782 - with electrocoagulation Hunner ulcer - add 50.9
E783 - with secondary surgical evacuation of bladder clots and control of haemorrhage - add 101.65
E784 - with hydrodistention of bladder general anaesthetic - add 50.85
E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add 55.35
E786 - with resection or incision bladder neck, female - add 101.7
E787 - with resection or incision bladder neck, male - add 265.65
E788 - with ureteral meatotomy, by any means - add 101.7
E789 - with removal foreign body or calculus - add 101.7
E790 - with removal of ureteric catheter - add 9
E791 - with periurethral injection of bulking agents- add 26.5
E792 - when performed laparoscopically - add 25%
E793 - laparoscopic or laparoscopic assisted - add 25%
E794 - with intraoperative cholangiogram - add 36.55
E795 - with brushing of oesophagus, stomach, and/or duodenum - add 47.25
E796 - with mobilization of splenic flexure - add 104.45
E797 - management of uncomplicated upper or lower gastrointestinal bleeding, by any technique (e.g. laser, injection, diathermy, banding etc.) - add 47.25
E798 - management of complicated upper gastrointestinal bleeding by any technique in haemodynamically unstable patients with active bleeding during endoscopy - add 71.1
E799 - each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) - add 25.75
E800 - to endoscopy fee - add 103.55
E801 - including biliary and/or pancreatic examination, to endoscopy fee - add 155.35
E802 - biopsy or fine needle aspiration, to a maximum of 3, per lesion - add 51.75
E803 - dilation of stricture - add 31.25
E804 - injection of one or more of any of the following metastases, nodes, masses, or celiac plexus - add 147.95
E805 - drainage of pseudocyst (including stent insertion if performed) - add 207.15
E807 - recipient, with evisceration - add 2697.9
E808 - neorectal pouch formation - add 153
E809 - excision of pannus that extends beyond the mid thigh - add 255.05
E815 - angioplasty remote from subintimal dissection site - add 406.15
E817 - with catheterization of the ureter and retrograde injection of opaque media, unilateral- add 15.65
E818 - with insertion of ureteric stent, unilateral- add 25.4
E819 - diagnostic ureteroscopy of second ureter, to Z628 - add 55.75
E820 - with biopsy of one or more sites in ureter and/or pelvis using ureteroscope - add 50.75
E822 - ureteroscopy to upper third of ureter or renal pelvis - add 38.45
E823 - resection and fulgarization of one or more ureteral or renal pelvic tumours - add 238.35
E824 - with bladder biopsy general anaesthetic- add 50.85
E825 - with miniplate(s), per major fracture line - add 65.25
E826 - percutaneous pinning - add 75%
E828 - rigid internal fixation, any method - add 106.1
E830 - with miniplate(s), per major fracture line - add 109.35
E831 - use of skin grafts, or revision surgery (with or without skin grafts) - add 30%
E832 - excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps - excision of fascia for Dupuytrens, one or more additional rays - add 279.35
E833 - with insertion of subcutaneous port - add 118.45
E837 - additional biopsy(s) performed by EBUS, to a maximum of 3 - add 51.75
E838 - bronchoscopy in a high risk patient with respiratory failure (i.e. severe hypoxemia or hypercapnia) - add 81
E839 - with flexible endoscope - add 19.6
E840 - with repair of septal perforation - add 121.6
E841 - with autologous bone or cartilage graft - from site(s) other than nose, to a maximum of two - add 231.35
E842 - with nonautologous graft or implant - add 59.8
E843 - bilateral procedure - add 105.1
E844 - bilateral procedure - add 204
E845 - when performed using a 3D CT/MRI image guided system - add 142.8
E846 - rigid bronchoscopy rendered immediately after flexible bronchoscopy - add 97.6
E847 - with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add 76.5
E848 - with reconstruction of pericardium requiring repair with synthetic graft material - add 81.6
E849 - with resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material - add 224.4
E852 - with tuboplasty - add 48.85
E853 - with resection of diaphragm including reconstruction - add 147.9
E854 ureterolysis - unilateral - payable in conjunction with major gynaecological operative procedure except S743 and must include surgical definition of pararectal and paravesical spaces, identification of uterine artery and vein, and mobilization of the pelvic ureter from common iliac vessels to ureterovesical junction - add 173.4
E855 with dye injection - add - to S743 26.35
E857 - with D&C - add 80.05
E860 - diagnostic laparoscopy prior to laparotomy - add 134.1
E861 - Paracervical block payable in addition to endometrial sampling, ablation or curettage by same physician in an office unilateral or bilateral - add 9.2
E862 - when performed laparoscopically - add 25%
E863 - when performed laparoscopically - add 25%
E870 - when laminaria tent supplied by the physician - add 8.5
E871 - lumbar puncture using image guidance following a failed blind attempt - add 25%
E874 - with CT perfusion study - add 65.3
E875 - with magnetic resonance spectroscopy - add 19.8
E876 - with magnetic resonance spectroscopy - add 9.9
E880 - parathyroid(s) reimplantation - add 188.3
E882 - with thyroid lobectomy - add 180.95
E883 with subtotal thyroidectomy - add - to S792 271.95
E884 - with total thyroidectomy - add 381.5
E885 - transcervical thymectomy performed in association with parathyroidectomy - add 108.15
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
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
E890 complex endonasal endoscopic resection from cavernous sinuses, to N114 or N116 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
E894 - aneurysm greater than 2.5 cm - add 234.15
E895 - of cerebral arteriovenous malformation greater than 4 cm - add 381.3
E896 - sophisticated microelectrode recording during stereotaxis - add 408.45
E898 - lesion greater than 2.5 cm - add 289.5
E899 - for each additional cable - add 104.5
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
E904 - posterior fossa - add 245.85
E905 - endonasal endoscopic or microscopic approach for surgical access to sella turcica - add 765.1
E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
E908 - removal of intracerebral and/or subdural haematoma in conjunction with a ruptured intracranial aneurysm or arteriovenous malformation - add 310.4
E911 - implantation of neuroma into bone or muscle - add 40%
E912 - with repair of dural laceration - add 238
E916 - with biopsy - add 238
E917 - with interventriculostomy - add 307.75
E918 - with removal of foreign body - add 135.45
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
E922 - with repair of frontonasal encephalocele - add 219.7
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%
E930 - when done in conjunction with another procedure - add 104.4
E931 - with implantation (and removal) of radioactive sources into brain tumour - add 227.35
E932 - unilateral - add 209.1
E933 - with miniplate(s), per major fracture line - add 101.85
E934 - with primary bone graft (separate site) - add 208.9
E935 - bilateral - add 313.9
E936 - to vitrectomy - add 91.8
E937 - with autogenous conjunctival transplant - add 102
E938 - with transscleral retinal suturing - add 217.5
E940 - when done in conjunction with another intraocular procedure - add 107.1
E941 - with major plastic repair- add 302.85
E942 - with cantholysis - add 54.25
E943 - with releasing rotation flap including cantholysis - add 91.25
E944 - with free posterior lamellar graft - add 178.65
E945 - repeat by second surgeon - add 53.45
E946 - with mastoid cavity obliteration - add 108.6
E947 - with orbital exenteration - add 313
E948 - with mucous membrane graft - add 115.5
E949 - for adjustable suture - add 102
E950 - insertion of intraocular lens - add 94.35
E951 - with artificial prosthesis - add 53.45
E952 - repeat strabismus procedure - add 178.5
E953 - with scleral graft - add 82.55
E954 - with lacrimal bypass procedure (e.g. Lester Jones) or canalicular reconstruction - add 82.55
E955 - with grafting of canal - add 206.4
E956 - with tympanoplasty and/or ossiculoplasty, and/or mastoidectomy - add 407.95
E957 - with mastoidectomy - add 140.8
E958 - when alcohol or other sclerosing solutions are used, the appropriate nerve block fees as listed above - add 50%
E959 - with meatoplasty and/or canalplasty - add 108.6
E960 - with ossiculoplasty - add 105.9
E961 - in two segments - add 302.55
E962 - in three segments - add 606.15
E963 - in two segments - add 302.55
E964 - in three segments - add 606.15
E965 - in two segments - add 302.55
E966 - in three segments - add 606.15
E967 - in two segments - add 261.55
E968 - in three segments - add 522.2
E969 - with SMR - add 208.9
E970 - with pharyngoplasty - add 313.3
E971 - with closure alveolar fistula with or without bone graft - add 391.35
E972 - with closure hard palate fistula with or without bone graft - add 522.2
E973 - when in conjunction with coronal approach for main operation - add 182.5
E974 - when in conjunction with coronal approach for main operation - add 303.55
E975 - each subsequent rib - add 78.05
E976 - each subsequent rib - add 157.1
E977 - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees - add 25%
E979 - clinoidal drilling for complex aneurysms - add 404.65
E981 - with removal of middle ear tumour - add 135
E982 - when service is rendered to newborn, infant or child (ages 0 to 15 inclusive) - add 30%
E983 - following previous glaucoma filtering procedure - add 25%
E984 - following previous glaucoma filtering procedure - add 140.25
E985 - with tympanoplasty - add 108.6
E986 - suprarenal or supraceliac aortic cross clamp - add 255.05
G123 - for each additional one (to a maximum of 4) - add 17.45
G194 - with EMG - add 8.5
G221 - for each additional one - add 17.3
G223 - additional nerve(s) or site(s) - add 17.45
G262 - each additional major vesse - add 214.65
G263 - with other drug interventional studies - add 98.4
G265 - each additional unilateral block following G264 per spinal level per day when G264 is payable in full (maximum 3 per day to a maximum of 48 additional blocks per calendar year) 17.45
G281 - each additional injection 7.85
G285 - dye dilution densitometry when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add 33.55
G286 - thermal dilution studies when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add 33.55
G292 - each additional unilateral block following G291 per spinal level per day when G291 is payable in full (maximum 3 per day) 10.2
G329 - each additional bursa or complex joint, to a maximum of 2 20.65
G371 - each additional bursa, joint, ganglion or tendon sheath, to a maximum of 5 20.3
G385 - for each additional site (to a maximum of 2) - add 4.65
G417 - inserting subtemporal needle electrodes - add 16.2
G431 - under general anaesthesia - add 42.45
G486 - each additional major nerve and/or its branches same day - add 29.05
G488 - each additional major nerve and/or its branches same day - add 19.2
G544 - polygraphic recording of parameters in addition to EEG, Technical component, per item - add 8.75
G549 - additional implantation site(s) (maximum 1 per patient) 161
G556 - ICU/ NICU admission assessment is an initial visit rendered during night time (00:0007: 00) - add 139.15
G579 - saline study (including venipuncture) - add 11.6
G585 - technical component, with use of contrast agent - add 133.9
G876 - each additional injection to a maximum of 11 - add 10.2
G877 - with EMG guidance (when required to determine the injection site) - add 19.25
G878 - with EMG guidance (when required to determine the injection site), for two or more injections - add 28.65
G879 - with ultrasound guidance (when required to determine the injection site), for one injection - add 19.25
G880 - with ultrasound guidance (when required to determine the injection site), for two or more injections - add 28.65
G913 - each additional site - add 20.4
G915 - each additional site - add 14.3
J014 - selective catheterization for spinal and parathyroid angiography - add to catheter insertion fee - add 38.8
J020 - with posterior fossa views - add 24.35
J022 - selective catheterization - add to catheter insertion fee (per vessel, to maximum of 4) - add 61.35
J030 - each additional disc - add 55.15
J038 - with supine views requiring removal and re-introduction of spinal needle - add 22.2
J047 - each additional vessel catherterized and occluded, per vessel - add 50.35
J169 - multiple gestation, for each additional fetus - add 16.7
J196 Ankle pressure measurements - with exercise and/or quantitative measurements 10.3
J708 - cardiac PET with quantitative analysis - add 0%
J809 - application of SPECT (maximum 2 per examination) - add 24.15
J819 - where each SPECT image represents a different organ or body area, maximum 3 images per examination - add 25.15
J866 - application of SPECT), maximum 1 per exam - add 24.15
K187 - acute post-discharge community psychiatric care - add 15%
K188 - high risk community psychiatric care - add 15%
K189 - urgent community psychiatric followup - add 220.65
K684 - opioid Agonist Maintenance Program - team premium, per month - add 6.1
L823 - each subsequent frozen section or direct smear and/or selection of tissue for biochemical assay eg estrogen receptors - add 39
L831 - analytical electron microscopy, elemental detection or mapping, electron diffraction, per case - add 50.35
L835 - eachadditional enzyme - add 15.45
L842 - anti-tissueantibodies, screening dilution, titration and interpretation - add 8.6
X194 - additional coned views with or without magnification (limit of two per breast) per film - add 5.3
X486 - when cardiac gating is preformed - add 30%

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