OHIP Billing Codes
Specialty: All
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Code | Description | Tech | Prof | Anes | Asst | Fee |
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All |
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E424 | - assessment of paediatric patient with amblyopia - add | 0 | $50.00 | |||
A233
Specific assessment
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$57.70 | |||||
E519 | - each additional polyp (10 mm - 19 mm) - add | 0 | $77.50 | |||
Z517
Excision of first polyp (10 mm to 19 mm)
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$150.15 | |||||
E518 | - each additional polyp (20 mm - 29 mm) - add | 0 | $77.50 | |||
Z516
Excision of first polyp (20 mm to 29 mm)
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$150.15 | |||||
E520 | - each additional polyp (6 mm - 9 mm) - add | 0 | $77.50 | |||
Z518
All Codes
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$150.15 | |||||
E827 | - repair of defect (> 10 cm) with component separation - add | 0 | $600.00 | |||
S340
Congenital diaphragmatic hernia - Ventral post-operative
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$370.95 | |||||
E829 | - repair of defect (5-10 cm) with component separation - add | 0 | $300.00 | |||
S340
Congenital diaphragmatic hernia - Ventral post-operative
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$370.95 | |||||
E877 | - repeat strabismus procedure(s) - add 30% | 0 | ||||
E182
Stabismus procedures - Trasposition of extraocular muscle to treat paretic or lost, damaged eye muscle
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$600.00 | |||||
E175 | - therapeutic paracentsis done in conjuction - add | 0 | $20.00 | |||
E147
Anterior vitrectomy - Intravitreal injection of medication for the treatment of wet macular degeneration
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$90.00 | |||||
E521 | - when done in conjuction with another procedure - add | 0 | $200.00 | |||
R740
Left atrial appendage occlusion/excision by suture of device, sole procedure
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$400.00 | |||||
M112 | - when performed thorascopically, by video-assisted thoracic surgery (VATS), by robotic-assisted surgery, or by uniportal approach - add 35% | 0 | ||||
M106
Chest wall reconstruction - Mediastinal tumour
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$1,004.00 | |||||
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E494 | - 1 or more compartments, must include substantial debridement of pathologic articular cartilage and includes when rendered synovectomy, meniscal trimming and/or chondroplasty - add | 0 | $299.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
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$97.35 | |||||
E379 | - 2D stereotactic spinal procedure - add | 0 | $510.00 | |||
N528
Cervical - with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass)
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$1,020.00 | |||||
E378 | - 3D stereotactic spinal procedure - add | 0 | $510.00 | |||
N528
Cervical - with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass)
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$1,020.00 | |||||
K187 | - acute post-discharge community psychiatric care - add 15% | 0 | ||||
K195
Family psychotherapy - out-patients (two or more members) - per unit
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$101.75 | |||||
E837 | - additional biopsy(s) performed by EBUS, to a maximum of 3 - add | 0 | $50.75 | |||
G050
Bronchoscopy - Endobronchial ultrasound (EBUS), for guided biopsy of hilar and/or mediastinal lymph nodes
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$203.05 | |||||
G549 | - additional implantation site(s) (maximum 1 per patient) | 0 | $157.85 | |||
G547
Clinical Programming of Deep Brain Stimulator (DBS) includes one or more visits for DBS checking, minor and major DBS adjustments, and intensive programming. First implantation site (maximum 1 per patient)
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$185.70 | |||||
E640 | - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add | 0 | $179.55 | |||
E894 | - aneurysm greater than 2.5 cm - add | 0 | $229.55 | |||
N122
Intracranial aneurysm repair - Endovascular approaches - Carotid circulation per vessel
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$2,140.15 | |||||
E622 | - any bronchoscopic procedure for patients under 3 years of age - add | 0 | $79.40 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
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$124.90 | |||||
J809 | - application of SPECT (maximum 2 per examination) - add | 0 | $23.65 | |||
J808
Myocardial Perfusion Scintigraphy - delayed
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J866 | - application of SPECT), maximum 1 per exam - add | 0 | $23.65 | |||
J807
Myocardial Perfusion Scintigraphy - resting, immediate post stress
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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% | 0 | ||||
N188
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve
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$153.70 | |||||
E906 | - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40% | 0 | ||||
N188
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve
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$153.70 | |||||
E802 | - biopsy or fine needle aspiration, to a maximum of 3, per lesion - add | 0 | $50.75 | |||
S236
Linear or radial echo-endoscope - excluding biliary or pancreatic examination (scope also used for therapeutic procedures)
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$203.05 | |||||
E532 | - both tibial plateaus, same knee - add 50% | 0 | ||||
F081
Fractures - Intramedullary nail with distal and proximal locking screws - medialor lateral tibial plateau
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$660.00 | |||||
J708 | - cardiac PET with quantitative analysis - add 0% | 0 | ||||
J707
Cardiac PET using fluorodeoxyglucose (FDG) - cardiac PET
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$237.50 | |||||
E544 | - Cast-bracing w/ closed reduction to closed reduction fee - add 40% | 0 | ||||
E547
Methyl methacrylate (not arthroplasty)
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$59.40 | |||||
E078 | - chronic disease assessment premium (see General Preamble GP116) - add 50% | 0 | ||||
G329 | - each additional bursa or complex joint, to a maximum of 2 | 0 | $20.25 | |||
G328
Aspiration of bursa or complex joint, with or without injection
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$39.80 | |||||
G371 | - each additional bursa, joint, ganglion or tendon sheath, to a maximum of 5 | 0 | $19.90 | |||
G370
Injection of bursa, or injection and/or aspiration of joint, ganglion or tendon sheath
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$20.25 | |||||
E541 | - each additional expander (to a maximum of 3) | 0 | $11.55 | |||
Z137
Percutaneous inflation of first tissue expander
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$23.05 | |||||
G876 | - each additional injection to a maximum of 11 - add | 0 | $10.00 | |||
G875
Botulinum toxin injection for the following conditions: Oromandibular dystonia, limb dystonia, cervical dystonia or spasticity - First injection
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$40.00 | |||||
Code no longer active
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- each additional polyp (maximum of 4) - add | 0 | $24.75 | |||
Z570
Fulguration of first polyp through colonoscope
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E720 | - each additional polyp greater than or equal to 3mm (maximum of 2) - add | 0 | $77.50 | |||
Z571
Excision of first polyp greater than or equal to 3mm through colonoscope
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$150.15 | |||||
E799 | - each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) - add | 0 | $25.25 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
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$68.25 | |||||
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) | 0 | $17.10 | |||
G264
Occipital nerve - first block per day (maximum 1 per day to a maximum of 16 first blocks per calendar year)
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$34.10 | |||||
G292 | - each additional unilateral block following G291 per spinal level per day when G291 is payable in full (maximum 3 per day) | 0 | $10.00 | |||
G264
Occipital nerve - first block per day (maximum 1 per day to a maximum of 16 first blocks per calendar year)
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$34.10 | |||||
E608 | - each additional wedge resection of lung (to a maximum of 3) - add | 0 | $84.15 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
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$534.10 | |||||
E630 | - endoscopic placement of stent in colon, - add | 0 | $137.05 | |||
Z491
Follow up of incomplete polyp resection
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$51.95 | |||||
E386 | - extradural decompression - spinal cord or cauda equina - tumour or infection - add 42% | 0 | ||||
N553
Simple soft tissue tumour excision under 5cm
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$204.00 | |||||
E983 | - following previous glaucoma filtering procedure - add 25% | 0 | ||||
E132
Glaucoma filtering procedures
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$550.00 | |||||
G123 | - for each additional one (to a maximum of 4) - add | 0 | $17.10 | |||
G228
Paravertebral nerve block of cervical, thoracic or lumbar or sacral or coccygealnerves
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$34.10 | |||||
E601 | - for each additional rib (more than 3) to a maximum of 3 additional - add | 0 | $57.50 | |||
M107
Chest wall reconstruction - Total sternectomy
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$812.25 | |||||
E605 | - for each additional rib (more than 3) to a maximum of 3 additional - add | 0 | $55.60 | |||
M111
Thoracoplasty - one stage
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$304.20 | |||||
G385 | - for each additional site (to a maximum of 2) - add | 0 | $4.55 | |||
G384
Infiltration of tissues for trigger point
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$8.85 | |||||
E373 | - for repeat decompression - add 30% | 0 | ||||
N541
Removal of posterior instrumentation
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$255.00 | |||||
E375 | - for repeat fusion - add 30% | 0 | ||||
N541
Removal of posterior instrumentation
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$255.00 | |||||
E374 | - foramen magnum decompression < 3cm as part of cervical decompression - add | 0 | $357.00 | |||
N510
Cervical / Thoracic - One level - bilateral
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$1,208.70 | |||||
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 | 0 | $500.00 | |||
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)
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$1,879.00 | |||||
K188 | - high risk community psychiatric care - add 15% | 0 | ||||
A190
Special psychiatric consultation
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$310.45 | |||||
G556 | - ICU/ NICU admission assessment is an initial visit rendered during night time (00:0007: 00) - add | 0 | $136.40 | |||
G400
Physician-in-charge - 1st day
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$223.10 | |||||
E540 | - if excision is performed in hospital for tumour free margin with frozen section - add 25% | 0 | ||||
R010
Malignant melanoma - wide excision in any area and must include > 1 cm margins and layered closure
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$124.10 | |||||
E977 | - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees - add 25% | 0 | ||||
E222
Primary closure of full thickness lid defect
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$290.00 | |||||
E530 | - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add | 0 | ||||
Z176
Repair of lacerations - up to 5 cm
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$20.00 | |||||
E911 | - implantation of neuroma into bone or muscle - add 40% | 0 | ||||
N286
Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Tumour or neuroma major nerve
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$317.85 | |||||
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% | 0 | ||||
Z102
Abscess or haematoma - General anaesthetic - subcutaneous - one
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$44.35 | |||||
E919 | - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add | 0 | $254.45 | |||
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)
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$1,879.00 | |||||
E451 | - J315 plus 12 lead e.c.g. done at rest, used for monitoring - add | 0 | $25.05 | |||
J315
Stage i: graded exercise to maximum tolerance
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E793 | - laparoscopic or laparoscopic assisted - add 25% | 0 | ||||
S128
Total gastrectomy - with or without splenectomy
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$1,235.00 | |||||
E902 | - lesion greater than 2 cm diameter - add | 0 | $454.15 | |||
N102
Craniotomy plus excision - Meningioma and other tumourous lesions, including pituitary tumours - supratentorial
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$1,862.85 | |||||
E898 | - lesion greater than 2.5 cm - add | 0 | $283.80 | |||
N105
Intracranial aneurysm repair - Craniotomy approaches - Carotid circulation pervessel
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$2,477.45 | |||||
Code no longer active
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- lumbar puncture using image guidance following a failed blind attempt - add 25% | 0 | ||||
Z804
Lumbar puncture
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$150.00 | |||||
E489 | - microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add | 0 | $250.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
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$97.35 | |||||
E785 | - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add | 0 | $54.25 | |||
Z491
Follow up of incomplete polyp resection
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$51.95 | |||||
E895 | - of cerebral arteriovenous malformation greater than 4 cm - add | 0 | $373.80 | |||
N106
Cerebral vascular malformation - Craniotomy - supratentorial
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$2,006.05 | |||||
E481 | - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add | 0 | $500.00 | |||
R683
Elbow arthroscopy setup, includes when rendered debridement, synovectomy, synovial biopsy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/or arthroscopic epicondylar release
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$400.00 | |||||
E490 | - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add | 0 | $500.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
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$669.80 | |||||
E826 | - percutaneous pinning - add 75% | 0 | ||||
F005
Fractures - Phalanx - closed reduction
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$99.25 | |||||
E569 | - percutaneous pinning, to closed reduction fee - add 50% | 0 | ||||
F005
Fractures - Phalanx - closed reduction
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$99.25 | |||||
E060 | - post renal transplant assessment premium - add 25% | 0 | ||||
A163
Medical specific assessment
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$80.95 | |||||
E607 | - re-operation more than 30 days subsequent to previous excision, to appropriate excision fee - add | 0 | $152.30 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
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$534.10 | |||||
E623 | - repeat operation after 30 days - add | 0 | $415.15 | |||
M099
Segmental resection of cervical trachea
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$918.60 | |||||
E726 | - repeat recurrent inguinal hernia (more than 2 repairs) - add | 0 | $226.00 | |||
S322
Herniotomy - Inguinal and/or femoral - infants
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$487.50 | |||||
E564 | - revision of arthroplasty - add 35% | 0 | ||||
R437
Wrist - interposition
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$374.00 | |||||
E058 | - revision/repair following previous glenohumeral joint surgery - add 30% | 0 | ||||
R401
Dislocations - Glenohumeral joint - open reduction, recurrent
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$419.65 | |||||
E059 | - revision/repair following previous reconstruction of knee ligaments - add 30% | 0 | ||||
R542
Ligaments - extensive ligament reconstruction (including synthetics) includes when rendered preparation of intracondyar notch
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$517.85 | |||||
E057 | - revision/repair following previous rotator cuff surgery - add 30% | 0 | ||||
R594
Muscles/soft tissues - Rotator cuff repair - complex (includes implantation into bone, and as required, acromioplasty, excision of coracoacromial ligament, subacromial bursa and excision of distal clavicle)
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$498.30 | |||||
E555 | - rigid external fixation for closed reduct to closed reduction fee - add 50% | 0 | ||||
R267
Removal of internal fixation device - general anaesthetic
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$158.65 | |||||
J022 | - selective catheterization - add to catheter insertion fee (per vessel, to maximum of 4) - add | 0 | $60.15 | |||
J021
By catheterization - abdominal, thoracic, cervical or cranial - insertion of catheter (including cut down, if necessary) and injection, if given
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$121.40 | |||||
E411 | - sole delivery (max 25/yr/physician) - add 100% | 0 | ||||
E483 | - synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add | 0 | $326.55 | |||
R682
Wrist arthroscopy setup
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$400.00 | |||||
E685 | - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add | 0 | $227.65 | |||
Z765
Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater
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$131.75 | |||||
E831 | - use of skin grafts, or revision surgery (with or without skin grafts) - add 30% | 0 | ||||
R549
Soft tissue - Ganglion Simple or complex
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$177.80 | |||||
E445 | - when alcohol or other sclerosing solutions are used - add 50% | 0 | ||||
G920
Percutaneous cervical sympathetic nerve block or Stellate ganglion block - with ultrasound or fluoroscopic guidance, unilateral
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$80.00 | |||||
E958 | - when alcohol or other sclerosing solutions are used, the appropriate nerve block fees as listed above - add 50% | 0 | ||||
G214
Brachial plexus
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$54.65 | |||||
X486 | - when cardiac gating is preformed - add 30% | 0 | ||||
X496
Multislice s.e. (1 or 2 echoes)
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$101.65 | |||||
E792 | - when performed laparoscopically - add 25% | 0 | ||||
S403
Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst)
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$356.70 | |||||
E862 | - when performed laparoscopically - add 25% | 0 | ||||
S549
Retropubic urethropexy for stress incontinence - primary procedure
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$391.55 | |||||
E863 | - when performed laparoscopically - add 25% | 0 | ||||
S730
Combined Abdominal-Vaginal Procedure for Stress Incontinence (Sling Procedure) - Primary approach - Two surgeons - vaginal surgeon
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$330.50 | |||||
E683 | - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28% | 0 | ||||
M106
Chest wall reconstruction - Mediastinal tumour
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$1,004.00 | |||||
E845 | - when performed using a 3D CT/MRI image guided system - add | 0 | $140.00 | |||
E982 | - when service is rendered to newborn, infant or child (ages 0 to 15 inclusive) - add 30% | 0 | ||||
Z850
When sole procedure or with unlisted minor procedures with general anaesthesia
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$200.00 | |||||
J819 | - where each SPECT image represents a different organ or body area, maximum 3 images per examination - add | 0 | $24.65 | |||
J852
Gallium scintigraphy - general survey
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E857 | - with D&C - add | 0 | $78.45 | |||
Z552
Peritoneoscopy, culdoscopy or laparoscopy - without biopsy
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$149.65 | |||||
E681 | - with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) - add | 0 | $43.60 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
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$213.15 | |||||
E680 | - with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) - add | 0 | $82.35 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
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$213.15 | |||||
E702 | - with multiple (3 or more) biopsies of specific lesion - add | 0 | $15.10 | |||
E444 | - with radiofrequency ablation - add 50% | 0 | ||||
G233
Percutaneous celiac, splanchnic or hypogastric ganglion/plexus block withfluoroscopic guidance
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$200.00 | |||||
E752 | - with repeat surgery on kidney at least 30 days after previous kidney surgery - add | 0 | $83.25 | |||
Z601
Renal biopsy, needle
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$143.55 | |||||
E637 | - with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site - add | 0 | $76.45 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
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$124.90 | |||||
E674 | - with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add | 0 | $142.40 | |||
Z527
Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm
|
$82.90 | |||||
E675 | - with snare polypectomy each additional polyp > 1 cm (maximum 2) - add | 0 | $73.50 | |||
Z527
Gastroscopy - may include biopsies, photography and removal of polyps less than or equal to 1 cm
|
$82.90 | |||||
E703 | - with snare polypectomy first polyp (> 1 cm) - add | 0 | $50.50 | |||
E041 | #NAME? | 0 | $81.55 | |||
R326
Pseudoarthrosis - Tibia/fibula
|
$696.00 | |||||
E048 | #NAME? | 0 | $108.75 | |||
R328
Pseudoarthrosis - Hip
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$872.65 | |||||
E049 | #NAME? | 0 | $87.20 | |||
R571
Muscles/tendons - Lengthening of hamstrings - Tendon or muscle transfer
|
$307.15 | |||||
E050 | #NAME? | 0 | $77.05 | |||
R557
Tendon - Tenoplasty - one
|
$223.65 | |||||
E051 | #NAME? | 0 | $245.90 | |||
R554
Tendon - Silicone rod insertion - one
|
$294.20 | |||||
E052 | #NAME? | 0 | $259.85 | |||
R559
Tendon - Tendon graft - one
|
$306.30 | |||||
E053 | #NAME? | 0 | $94.60 | |||
R560
Tendons - Tendon transfer foot and ankle - Graft
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$253.30 | |||||
E054 | #NAME? | 0 | $236.10 | |||
R563
Tendon - Transplant/transfer - single
|
$284.95 | |||||
E055 | #NAME? | 0 | $94.60 | |||
R565
Tendons - Tendon transfer foot and ankle - single
|
$253.30 | |||||
E056 | #NAME? | 0 | $91.90 | |||
R563
Tendon - Transplant/transfer - single
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$284.95 | |||||
E069 | #NAME? | 0 | $134.75 | |||
R070
Pedicle flaps - Small/Intermediate, e.g. cross finger, cervical finger
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$293.75 | |||||
E090 | #NAME? | 0 | $260.80 | |||
S745
Oophorectomy - and/or oophorocystectomy
|
$366.20 | |||||
E136 | #NAME? | 0 | $290.00 | |||
E132
Glaucoma filtering procedures
|
$550.00 | |||||
E233 | #NAME? | 0 | $153.25 | |||
E231
Medial canthal tendon - tendon repair only
|
$267.35 | |||||
E360 | #NAME? | 0 | $306.00 | |||
N500
Cervical - Disc excision (one level)
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$918.00 | |||||
E361 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E362 | #NAME? | 0 | $153.00 | |||
N502
Thoracic - includes thoracotomy - Disc excision (one level)
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$1,530.00 | |||||
E363 | #NAME? | 0 | $357.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E364 | #NAME? | 0 | $102.00 | |||
E363
#NAME?
|
$357.00 | |||||
E365 | #NAME? | 0 | $765.00 | |||
N500
Cervical - Disc excision (one level)
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$918.00 | |||||
E367 | #NAME? | 0 | $255.00 | |||
N502
Thoracic - includes thoracotomy - Disc excision (one level)
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$1,530.00 | |||||
E368 | #NAME? | 0 | $306.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E369 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E371 | #NAME? | 0 | $816.00 | |||
E384
#VALUE!
|
$1,020.00 | |||||
E372 | #NAME? | 0 | $510.00 | |||
N511
Lumbar - One level - unilateral
|
$800.70 | |||||
E376 | #NAME? | 0 | $255.00 | |||
E372
#NAME?
|
$510.00 | |||||
E377 | #NAME? | 0 | $255.00 | |||
N509
Cervical / Thoracic - One level - unilateral
|
$1,004.70 | |||||
E380 | #NAME? | 0 | $357.00 | |||
N520
Cervical / Thoracic - One level - laminoplasty (includes fixation of lamina)
|
$1,514.70 | |||||
E382 | #NAME? | 0 | $244.80 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E383 | #NAME? | 0 | $255.00 | |||
N500
Cervical - Disc excision (one level)
|
$918.00 | |||||
E385 | #NAME? | 0 | $71.40 | |||
N571
Lumbar - Percutaneous discotomy
|
$255.00 | |||||
E387 | #NAME? | 0 | $153.00 | |||
N511
Lumbar - One level - unilateral
|
$800.70 | |||||
E388 | #NAME? | 0 | $204.00 | |||
F200
No reduction, brace (includes Halo orthosis), total care by operating surgeon
|
$178.50 | |||||
E389 | #NAME? | 0 | $102.00 | |||
N540
Posterior scoliosis correction up to six levels (includes approach, disc excision and instrumentation)
|
$2,805.00 | |||||
E390 | #NAME? | 0 | $255.00 | |||
N539
Anterior scoliosis correction any number of levels (includes approach, disc excision and instrumentation)
|
$3,060.00 | |||||
E391 | #NAME? | 0 | $252.95 | |||
N570
Vertebroplasty (injection of bone cement) as sole procedure, first level
|
$655.25 | |||||
E392 | #NAME? | 0 | $510.00 | |||
F200
No reduction, brace (includes Halo orthosis), total care by operating surgeon
|
$178.50 | |||||
E393 | #NAME? | 0 | $510.00 | |||
N583
Kyphoplasty (balloon tamp and injection of bone cement) as sole procedure, first level
|
$1,201.55 | |||||
E394 | #NAME? | 0 | $765.00 | |||
N526
Artificial Disc Insertion - Artificial disc insertion (includes approach)
|
$2,040.00 | |||||
E395 | #NAME? | 0 | $306.00 | |||
N572
Open reduction, any single level, spine fracture/dislocation, anterior/posterior
|
$1,020.00 | |||||
E396 | #NAME? | 0 | $71.40 | |||
N566
Repair of anterior sacral meningocoele including release of tethered cord
|
$1,020.00 | |||||
E414 | #NAME? | 0 | $62.05 | |||
P006
Vaginal
|
$498.70 | |||||
E423 | #NAME? | 0 | $25.00 | |||
A233
Specific assessment
|
$57.70 | |||||
E430 | #NAME? | 0 | $11.95 | |||
G365
Papanicolaou smear - periodic
|
$12.00 | |||||
E431 | #NAME? | 0 | $11.95 | |||
G394
Papanicolaou smear - additional
|
$12.00 | |||||
E440 | #NAME? | 0 | $30.00 | |||
G246
Lumbar
|
$150.00 | |||||
E441 | #NAME? | 0 | $16.60 | |||
G246
Lumbar
|
$150.00 | |||||
E442 | #NAME? | 0 | $20.00 | |||
G246
Lumbar
|
$150.00 | |||||
E443 | #NAME? | 0 | $80.00 | |||
G246
Lumbar
|
$150.00 | |||||
E446 | #NAME? | 0 | $30.00 | |||
G370
Injection of bursa, or injection and/or aspiration of joint, ganglion or tendon sheath
|
$20.25 | |||||
E450 | #NAME? | 0 | $8.05 | |||
J315
Stage i: graded exercise to maximum tolerance
|
||||||
E476 | #NAME? | 0 | $192.00 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E477 | #NAME? | 0 | $192.00 | |||
R688
Ankle arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture and/or synovial biopsy
|
$400.00 | |||||
E478 | #NAME? | 0 | $251.55 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E479 | #NAME? | 0 | $192.00 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E480 | #NAME? | 0 | $350.65 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E482 | #NAME? | 0 | $251.55 | |||
R682
Wrist arthroscopy setup
|
$400.00 | |||||
E484 | #NAME? | 0 | $336.65 | |||
R684
Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/ or synovial biopsy
|
$400.00 | |||||
E485 | #NAME? | 0 | $240.50 | |||
R684
Shoulder arthroscopy setup, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/ or synovial biopsy
|
$400.00 | |||||
E487 | #NAME? | 0 | $240.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
|
$669.80 | |||||
E488 | #NAME? | 0 | $350.00 | |||
R686
Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy
|
$669.80 | |||||
E491 | #NAME? | 0 | $161.45 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E492 | #NAME? | 0 | $231.30 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E495 | #NAME? | 0 | $240.45 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E496 | #NAME? | 0 | $336.65 | |||
R687
Knee arthroscopy setup, includes when rendered synovial biopsy and/or resection or trimming of plica
|
$97.35 | |||||
E497 | #NAME? | 0 | $526.40 | |||
R322
Bone - Pseudoarthrosis/non-union/avascular necrosis - Scaphoid
|
$588.20 | |||||
E499 | #NAME? | 0 | $397.75 | |||
P018
Caesarean section
|
$579.80 | |||||
E500 | #NAME? | 0 | $148.60 | |||
P006
Vaginal
|
$498.70 | |||||
E501 | #NAME? | 0 | $304.30 | |||
S013
Cleft lip - unilateral
|
$363.30 | |||||
E503 | #NAME? | 0 | $26.85 | |||
F006
Fractures - Intra-articular - closed reduction
|
$119.75 | |||||
E504 | #NAME? | 0 | $22.20 | |||
F009
Fractures - Metacarpal - closed reduction
|
$99.25 | |||||
E505 | #NAME? | 0 | $178.05 | |||
R108
Mastectomy - female (with or without biopsy) - simple
|
$330.00 | |||||
E508 | #NAME? | 0 | $85.00 | |||
D028
Dislocations - Tarsus - Tarsometatarsal - open reduction, one joint
|
$388.20 | |||||
E509 | #NAME? | 0 | $805.65 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E510 | #NAME? | 0 | $838.15 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E511 | #NAME? | 0 | $100.00 | |||
R695
Subtalar
|
$627.35 | |||||
E512 | #NAME? | 0 | $100.00 | |||
R696
Midtarsal, single joint
|
$500.00 | |||||
E513 | #NAME? | 0 | $297.50 | |||
R118
Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps
|
$405.60 | |||||
E514 | #NAME? | 0 | $200.00 | |||
R125
Elevation of free island skin and muscle flap and closure of defect
|
$874.60 | |||||
E523 | #NAME? | 0 | $321.00 | |||
R005
Myocutaneous, myogenous or fascia-cutaneous flaps - Sternomastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, rectus femoris, gastrocnemius (medial and lateral), trapezius
|
$545.00 | |||||
E524 | #NAME? | 0 | $273.45 | |||
R081
MOHS Micrographic Surgery - Initial cut, including debulking
|
$315.45 | |||||
E525 | #NAME? | 0 | $48.05 | |||
R107
Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast)
|
$169.95 | |||||
E527 | #NAME? | 0 | $58.95 | |||
Z132
Insertion of tissue expander
|
$304.10 | |||||
E528 | #NAME? | 0 | $258.50 | |||
Z132
Insertion of tissue expander
|
$304.10 | |||||
E529 | #NAME? | 0 | $102.45 | |||
R118
Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps
|
$405.60 | |||||
E537 | #NAME? | 0 | $165.20 | |||
R575
Tendon - Tenolysis flexor and/or extensor tendon of - one digit
|
$194.05 | |||||
E538 | #NAME? | 0 | $38.00 | |||
R456
Metatarsophalyngeal interposition - single
|
$144.80 | |||||
E539 | #NAME? | 0 | $117.85 | |||
R503
Ankle - removal of loose body, etc.
|
$167.10 | |||||
E542 | #NAME? | 0 | $11.55 | |||
Z722
Biopsy(ies) - when sole procedure - local anaesthetic
|
$39.60 | |||||
E543 | #NAME? | 0 | $30.60 | |||
G877
#NAME?
|
$18.85 | |||||
E545 | #NAME? | 0 | $11.55 | |||
S626
Vasectomy - uni - or bilateral - by any technique
|
$107.40 | |||||
E546 | #NAME? | 0 | $388.75 | |||
R111
Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease
|
$269.40 | |||||
E550 | #NAME? | 0 | $63.15 | |||
Z783
Secondary closure
|
$97.35 | |||||
E551 | #NAME? | 0 | $86.30 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E552 | #NAME? | 0 | $58.45 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E553 | #NAME? | 0 | $25.15 | |||
R267
Removal of internal fixation device - general anaesthetic
|
$158.65 | |||||
E557 | #NAME? | 0 | $154.00 | |||
R398
Medial transnasal canthopexy - unilateral
|
$414.30 | |||||
E558 | #NAME? | 0 | $22.25 | |||
E584
#NAME?
|
$11.15 | |||||
E559 | #NAME? | 0 | $142.90 | |||
F011
Fractures - Metacarpal - open reduction
|
$262.60 | |||||
E560 | #NAME? | 0 | $12.05 | |||
F056
Fractures - Phalanx - no reduction rigid immobilization
|
$49.20 | |||||
E561 | #NAME? | 0 | $14.90 | |||
E584
#NAME?
|
$11.15 | |||||
E571 | #NAME? | 0 | $148.75 | |||
R537
Tendon release (open) - Wrist
|
$175.00 | |||||
E575 | #NAME? | 0 | $41.70 | |||
R471
Interphalangeal
|
$151.85 | |||||
E576 | #NAME? | 0 | $10.25 | |||
D001
Fractures - Dislocations - Finger - closed reduction
|
$57.50 | |||||
E577 | #NAME? | 0 | $10.25 | |||
D004
Fractures - Dislocations - Metacarpal/phalangeal - closed reduction
|
$57.50 | |||||
E578 | #NAME? | 0 | $10.25 | |||
D027
Dislocations - Interphalangeal - closed reduction
|
$57.50 | |||||
E579 | #NAME? | 0 | $10.25 | |||
D030
Dislocations - Metatarsophalangeal - closed reduction
|
$57.50 | |||||
E580 | #NAME? | 0 | $70.95 | |||
R578
Tendon - Tendon repair extensor - single
|
$164.10 | |||||
E581 | #NAME? | 0 | $128.95 | |||
R585
Tendon - Flexor - single
|
$307.60 | |||||
E582 | #NAME? | 0 | $32.20 | |||
G196
Hypersensitivity skin test for validated drugs or agents excluding foods and inhalants, maximum of 3 per patient per physician per 12 month period
|
$17.00 | |||||
E583 | #NAME? | 0 | $94.60 | |||
R608
Metacarpal or metaphalangeal joint
|
$190.20 | |||||
E584 | #NAME? | 0 | $11.15 | |||
Z201
Finger
|
$10.25 | |||||
E585 | #NAME? | 0 | $47.30 | |||
R620
Metatarsal/phalanx disarticulation
|
$155.90 | |||||
E587 | #NAME? | 0 | $41.70 | |||
R309
Bone - Metatarsal head
|
$175.45 | |||||
E588 | #NAME? | 0 | $256.40 | |||
R535
Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm
|
$1,356.90 | |||||
E589 | #NAME? | 0 | $101.25 | |||
R241
Revision total arthroplasty hip - one or both components - acetabular or femoral
|
$1,304.80 | |||||
E590 | #NAME? | 0 | $76.10 | |||
R231
Sequestrectomy
|
$355.35 | |||||
E591 | #NAME? | 0 | $158.65 | |||
R258
Bone - Deformity - Osteotomy phalanx - middle proximal or metacarpal
|
$193.20 | |||||
E593 | #NAME? | 0 | $194.00 | |||
R241
Revision total arthroplasty hip - one or both components - acetabular or femoral
|
$1,304.80 | |||||
E594 | #NAME? | 0 | $41.70 | |||
R430
Forefoot - Claw and hammer toe
|
$220.30 | |||||
E596 | #NAME? | 0 | $41.70 | |||
R276
Deformity - Osteotomy - metatarsals and phalanx
|
$144.80 | |||||
E597 | #NAME? | 0 | $87.05 | |||
R533
Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles
|
$511.90 | |||||
E598 | #NAME? | 0 | $94.60 | |||
R482
Hemiarthroplasty - single component (e.g. MacIntosh)
|
$351.70 | |||||
E599 | #NAME? | 0 | $87.20 | |||
R556
Tenolysis - single
|
$202.25 | |||||
E600 | #NAME? | 0 | $33.60 | |||
Z292
Laryngoscopy - Direct - without biopsy
|
$61.30 | |||||
E602 | #NAME? | 0 | $177.95 | |||
M107
Chest wall reconstruction - Total sternectomy
|
$812.25 | |||||
E603 | #NAME? | 0 | $50.90 | |||
M017
Packing for localization of cerebrospinal rhinorrhea
|
$39.60 | |||||
E604 | #NAME? | 0 | $55.60 | |||
M116
Chest wall - pleura - fixation for trauma
|
$350.00 | |||||
E609 | #NAME? | 0 | $121.70 | |||
M130
Closure of broncho-pleural fistula (transthoracic or trans-sternal)
|
$584.75 | |||||
E610 | #NAME? | 0 | $263.80 | |||
M130
Closure of broncho-pleural fistula (transthoracic or trans-sternal)
|
$584.75 | |||||
E612 | #NAME? | 0 | $338.35 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E613 | #NAME? | 0 | $500.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E614 | #NAME? | 0 | $162.45 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E615 | #NAME? | 0 | $250.00 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E616 | #NAME? | 0 | $142.10 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E617 | #NAME? | 0 | $78.80 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E618 | #NAME? | 0 | $121.85 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E619 | #NAME? | 0 | $162.45 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E620 | #NAME? | 0 | $78.80 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E621 | #NAME? | 0 | $45.85 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E624 | #NAME? | 0 | $111.20 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E625 | #NAME? | 0 | $142.20 | |||
M138
Hilar lymph node or lung biopsy with full thoracotomy
|
$534.10 | |||||
E626 | #NAME? | 0 | $174.35 | |||
R802
Abdominal aorta - repair or excision with graft - aneurysm repair alone or including unilateral common femoral repair
|
$1,585.50 | |||||
E627 | #NAME? | 0 | $400.00 | |||
R875
Endovascular aneurysm repair using stent grafting
|
$1,396.90 | |||||
E628 | #NAME? | 0 | $194.50 | |||
Z412
Replacement or repair of pacemaker lead
|
$110.75 | |||||
E629 | #NAME? | 0 | $137.05 | |||
Z515
Oesophagoscopy, with or without biopsy(ies)
|
$68.25 | |||||
E632 | #NAME? | 0 | $68.40 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E633 | #NAME? | 0 | $44.55 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E634 | #NAME? | 0 | $52.00 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E635 | #NAME? | 0 | $67.20 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E636 | #NAME? | 0 | $50.00 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E638 | #NAME? | 0 | $81.90 | |||
Z327
Bronchoscopy - flexible or rigid, with or without bronchial biopsy, suction or injection of contrast material
|
$124.90 | |||||
E639 | #NAME? | 0 | $78.50 | |||
Z741
Tracheotomy
|
$273.15 | |||||
E641 | #NAME? | 0 | $137.05 | |||
Z353
Incisional biopsy of chest wall tumour
|
$110.90 | |||||
E642 | #NAME? | 0 | $119.20 | |||
M012
Septoplasty
|
$293.95 | |||||
E643 | #NAME? | 0 | $121.65 | |||
Z323
Laryngoscopy - Direct - with removal of lesion(s)
|
$226.35 | |||||
E644 | #NAME? | 0 | $400.00 | |||
M142
Pneumonectomy, may include radical mediastinal node dissection, sampling or pericardial resection requiring repair
|
$1,700.00 | |||||
E645 | #NAME? | 0 | $371.00 | |||
R742
Coronary artery repair - one
|
$895.55 | |||||
E646 | #NAME? | 0 | $187.80 | |||
R742
Coronary artery repair - one
|
$895.55 | |||||
E647 | #NAME? | 0 | $264.70 | |||
R738
Aortic valve replacement
|
$1,049.20 | |||||
E649 | #NAME? | 0 | $112.45 | |||
R784
Aorto-Iliac repair - plus unilateral common femoral repair
|
$2,102.00 | |||||
R785
Aorto-Iliac repair - plus bilateral common femoral repair
|
$2,327.50 | |||||
E650 | #NAME? | 0 | $371.00 | |||
Z759
Removal of failed vascular graft without arterial reconstruction when sole procedure
|
$189.55 | |||||
E651 | #NAME? | 0 | $202.05 | |||
R741
Excision - Coronary artery endarterectomy and/or gas endarterectomy
|
$730.70 | |||||
E652 | #NAME? | 0 | $187.85 | |||
E653 | #NAME? | 0 | $127.15 | |||
R842
Extra fascial and sub-fascial incompetent perforators by full fascial technique
|
$384.75 | |||||
E654 | #NAME? | 0 | $188.85 | |||
E655 | #NAME? | 0 | $348.70 | |||
Z759
Removal of failed vascular graft without arterial reconstruction when sole procedure
|
$189.55 | |||||
E656 | #NAME? | 0 | $288.85 | |||
R738
Aortic valve replacement
|
$1,049.20 | |||||
E657 | #NAME? | 0 | $446.50 | |||
R828
Ilio-femoral thrombectomy with or without femoral vein ligation
|
$446.50 | |||||
E658 | #NAME? | 0 | $278.10 | |||
R714
Cardiotomy - with removal of tumour
|
$525.75 | |||||
E659 | #NAME? | 0 | $169.00 | |||
R830
Aortic arch reconstruction - innominate
|
$910.70 | |||||
E661 | #NAME? | 0 | $185.15 | |||
R714
Cardiotomy - with removal of tumour
|
$525.75 | |||||
E662 | #NAME? | 0 | $49.75 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E663 | #NAME? | 0 | $183.00 | |||
R854
Tenckhoff type peritoneal catheter - removal
|
$63.10 | |||||
E664 | #NAME? | 0 | $127.05 | |||
R858
Aorto-Iliac repair - Total removal of infected aortic graft (stem and limbs)*
|
$918.35 | |||||
E665 | #NAME? | 0 | $419.00 | |||
R792
Carotid - endarterectomy, with or without bypass graft
|
$841.00 | |||||
E666 | #NAME? | 0 | $52.30 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E667 | #NAME? | 0 | $266.60 | |||
R830
Aortic arch reconstruction - innominate
|
$910.70 | |||||
E668 | #NAME? | 0 | $93.80 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E669 | #NAME? | 0 | $102.75 | |||
Z561
Endoscopic retrograde cholangiopancreatography (ERCP) - with cannulation of common bile duct and/or pancreatic duct
|
$213.15 | |||||
E670 | #NAME? | 0 | $224.70 | |||