OHIP Billing Codes

Specialty: All

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Code Description Fee

All

E424 - assessment of paediatric patient with amblyopia - add $50.00
E519 - each additional polyp (10 mm - 19 mm) - add $77.50
E518 - each additional polyp (20 mm - 29 mm) - add $77.50
E520 - each additional polyp (6 mm - 9 mm) - add $77.50
E827 - repair of defect (> 10 cm) with component separation - add $600.00
E829 - repair of defect (5-10 cm) with component separation - add $300.00
E877 - repeat strabismus procedure(s) - add 30%
E175 - therapeutic paracentsis done in conjuction - add $20.00
E521 - when done in conjuction with another procedure - add $200.00
M112 - when performed thorascopically, by video-assisted thoracic surgery (VATS), by robotic-assisted surgery, or by uniportal approach - add 35%

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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 $299.00
E379 - 2D stereotactic spinal procedure - add $510.00
E378 - 3D stereotactic spinal procedure - add $510.00
K187 - acute post-discharge community psychiatric care - add 15%
E837 - additional biopsy(s) performed by EBUS, to a maximum of 3 - add $50.75
G549 - additional implantation site(s) (maximum 1 per patient) $157.85
E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add $179.55
E894 - aneurysm greater than 2.5 cm - add $229.55
E622 - any bronchoscopic procedure for patients under 3 years of age - add $79.40
J809 - application of SPECT (maximum 2 per examination) - add $23.65
J866 - application of SPECT), maximum 1 per exam - add $23.65
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%
E906 - basic fee for neurolysis, tumour excision, nerve suture or graft when using operating microscope - add 40%
E802 - biopsy or fine needle aspiration, to a maximum of 3, per lesion - add $50.75
E532 - both tibial plateaus, same knee - add 50%
J708 - cardiac PET with quantitative analysis - add 0%
E544 - Cast-bracing w/ closed reduction to closed reduction fee - add 40%
E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
G329 - each additional bursa or complex joint, to a maximum of 2 $20.25
G371 - each additional bursa, joint, ganglion or tendon sheath, to a maximum of 5 $19.90
E541 - each additional expander (to a maximum of 3) $11.55
G876 - each additional injection to a maximum of 11 - add $10.00
E719 - each additional polyp (maximum of 4) - add $24.75
E720 - each additional polyp greater than or equal to 3mm (maximum of 2) - add $77.50
E799 - each additional polyp, by snare polypectomy (> 1 cm) (to a maximum of 2) - add $25.25
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) $17.10
G292 - each additional unilateral block following G291 per spinal level per day when G291 is payable in full (maximum 3 per day) $10.00
E608 - each additional wedge resection of lung (to a maximum of 3) - add $84.15
E630 - endoscopic placement of stent in colon, - add $137.05
E386 - extradural decompression - spinal cord or cauda equina - tumour or infection - add 42%
E983 - following previous glaucoma filtering procedure - add 25%
G123 - for each additional one (to a maximum of 4) - add $17.10
E601 - for each additional rib (more than 3) to a maximum of 3 additional - add $57.50
E605 - for each additional rib (more than 3) to a maximum of 3 additional - add $55.60
G385 - for each additional site (to a maximum of 2) - add $4.55
E373 - for repeat decompression - add 30%
E375 - for repeat fusion - add 30%
E374 - foramen magnum decompression < 3cm as part of cervical decompression - add $357.00
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 $500.00
K188 - high risk community psychiatric care - add 15%
G556 - ICU/ NICU admission assessment is an initial visit rendered during night time (00:0007: 00) - add $136.40
E540 - if excision is performed in hospital for tumour free margin with frozen section - add 25%
E977 - if excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees - add 25%
E530 - if inhalation general anaesthesia (other than 50% N2O/O2 mixture) is used, when suture of laceration is sole procedure - add
E911 - implantation of neuroma into bone or muscle - add 40%
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%
E919 - intracranial duroplasty (greater than 2 cm diameter) to any intracranial procedure - add $254.45
E451 - J315 plus 12 lead e.c.g. done at rest, used for monitoring - add $25.05
E793 - laparoscopic or laparoscopic assisted - add 25%
E902 - lesion greater than 2 cm diameter - add $454.15
E898 - lesion greater than 2.5 cm - add $283.80
E871 - lumbar puncture using image guidance following a failed blind attempt - add 25%
E489 - microfracture and/or abrasion arthroplasty, for osteoarthritic cartilage deficiency (includes removal of loose body(ies) - add $250.00
E785 - multiple screening biopsies (> 34 sites) for malignant changes in ulcerative colitis - add $54.25
E895 - of cerebral arteriovenous malformation greater than 4 cm - add $373.80
E481 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add $500.00
E490 - osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect) - add $500.00
E826 - percutaneous pinning - add 75%
E569 - percutaneous pinning, to closed reduction fee - add 50%
E060 - post renal transplant assessment premium - add 25%
E607 - re-operation more than 30 days subsequent to previous excision, to appropriate excision fee - add $152.30
E623 - repeat operation after 30 days - add $415.15
E726 - repeat recurrent inguinal hernia (more than 2 repairs) - add $226.00
E564 - revision of arthroplasty - add 35%
E058 - revision/repair following previous glenohumeral joint surgery - add 30%
E059 - revision/repair following previous reconstruction of knee ligaments - add 30%
E057 - revision/repair following previous rotator cuff surgery - add 30%
E555 - rigid external fixation for closed reduct to closed reduction fee - add 50%
J022 - selective catheterization - add to catheter insertion fee (per vessel, to maximum of 4) - add $60.15
E411 - sole delivery (max 25/yr/physician) - add 100%
E483 - synovectomy for inflammatory arthritis requiring a minimum of 90 minutes to resect - add $326.55
E685 - total excision of very large sessile polyp (> 3 cm) through colonoscope, and may include fulguration, each - add $227.65
E831 - use of skin grafts, or revision surgery (with or without skin grafts) - add 30%
E445 - when alcohol or other sclerosing solutions are used - add 50%
E958 - when alcohol or other sclerosing solutions are used, the appropriate nerve block fees as listed above - add 50%
X486 - when cardiac gating is preformed - add 30%
E792 - when performed laparoscopically - add 25%
E862 - when performed laparoscopically - add 25%
E863 - when performed laparoscopically - add 25%
E683 - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28%
E845 - when performed using a 3D CT/MRI image guided system - add $140.00
E982 - when service is rendered to newborn, infant or child (ages 0 to 15 inclusive) - add 30%
J819 - where each SPECT image represents a different organ or body area, maximum 3 images per examination - add $24.65
E857 - with D&C - add $78.45
E681 - with insertion of each additional endobiliary prosthesis and/or pancreatic stent (maximum 3) - add $43.60
E680 - with insertion of first endobiliary prosthesis and/or pancreatic stent (maximum 1) - add $82.35
E702 - with multiple (3 or more) biopsies of specific lesion - add $15.10
E444 - with radiofrequency ablation - add 50%
E752 - with repeat surgery on kidney at least 30 days after previous kidney surgery - add $83.25
E637 - with selective brushings of all 18 segmental bronchi for occult carcinoma in situ; specimens labeled as to site - add $76.45
E674 - with snare polypectomy - 1st polyp > 1 cm (maximum 1) - add $142.40
E675 - with snare polypectomy each additional polyp > 1 cm (maximum 2) - add $73.50
E703 - with snare polypectomy first polyp (> 1 cm) - add $50.50
E041 #NAME? $81.55
E048 #NAME? $108.75
E049 #NAME? $87.20
E050 #NAME? $77.05
E051 #NAME? $245.90
E052 #NAME? $259.85
E053 #NAME? $94.60
E054 #NAME? $236.10
E055 #NAME? $94.60
E056 #NAME? $91.90
E069 #NAME? $134.75
E090 #NAME? $260.80
E136 #NAME? $290.00
E233 #NAME? $153.25
E360 #NAME? $306.00
E361 #NAME? $255.00
E362 #NAME? $153.00
E363 #NAME? $357.00
E364 #NAME? $102.00
E365 #NAME? $765.00
E367 #NAME? $255.00
E368 #NAME? $306.00
E369 #NAME? $255.00
E371 #NAME? $816.00
E372 #NAME? $510.00
E376 #NAME? $255.00
E377 #NAME? $255.00
E380 #NAME? $357.00
E382 #NAME? $244.80
E383 #NAME? $255.00
E385 #NAME? $71.40
E387 #NAME? $153.00
E388 #NAME? $204.00
E389 #NAME? $102.00
E390 #NAME? $255.00
E391 #NAME? $252.95
E392 #NAME? $510.00
E393 #NAME? $510.00
E394 #NAME? $765.00
E395 #NAME? $306.00
E396 #NAME? $71.40
E414 #NAME? $62.05
E423 #NAME? $25.00
E430 #NAME? $11.95
E431 #NAME? $11.95
E440 #NAME? $30.00
E441 #NAME? $16.60
E442 #NAME? $20.00
E443 #NAME? $80.00
E446 #NAME? $30.00
E450 #NAME? $8.05
E476 #NAME? $192.00
E477 #NAME? $192.00
E478 #NAME? $251.55
E479 #NAME? $192.00
E480 #NAME? $350.65
E482 #NAME? $251.55
E484 #NAME? $336.65
E485 #NAME? $240.50
E487 #NAME? $240.00
E488 #NAME? $350.00
E491 #NAME? $161.45
E492 #NAME? $231.30
E495 #NAME? $240.45
E496 #NAME? $336.65
E497 #NAME? $526.40
E499 #NAME? $397.75
E500 #NAME? $148.60
E501 #NAME? $304.30
E503 #NAME? $26.85
E504 #NAME? $22.20
E505 #NAME? $178.05
E508 #NAME? $85.00
E509 #NAME? $805.65
E510 #NAME? $838.15
E511 #NAME? $100.00
E512 #NAME? $100.00
E513 #NAME? $297.50
E514 #NAME? $200.00
E523 #NAME? $321.00
E524 #NAME? $273.45
E525 #NAME? $48.05
E527 #NAME? $58.95
E528 #NAME? $258.50
E529 #NAME? $102.45
E537 #NAME? $165.20
E538 #NAME? $38.00
E539 #NAME? $117.85
E542 #NAME? $11.55
E543 #NAME? $30.60
E545 #NAME? $11.55
E546 #NAME? $388.75
E550 #NAME? $63.15
E551 #NAME? $86.30
E552 #NAME? $58.45
E553 #NAME? $25.15
E557 #NAME? $154.00
E558 #NAME? $22.25
E559 #NAME? $142.90
E560 #NAME? $12.05
E561 #NAME? $14.90
E571 #NAME? $148.75
E575 #NAME? $41.70
E576 #NAME? $10.25
E577 #NAME? $10.25
E578 #NAME? $10.25
E579 #NAME? $10.25
E580 #NAME? $70.95
E581 #NAME? $128.95
E582 #NAME? $32.20
E583 #NAME? $94.60
E584 #NAME? $11.15
E585 #NAME? $47.30
E587 #NAME? $41.70
E588 #NAME? $256.40
E589 #NAME? $101.25
E590 #NAME? $76.10
E591 #NAME? $158.65
E593 #NAME? $194.00
E594 #NAME? $41.70
E596 #NAME? $41.70
E597 #NAME? $87.05
E598 #NAME? $94.60
E599 #NAME? $87.20
E600 #NAME? $33.60
E602 #NAME? $177.95
E603 #NAME? $50.90
E604 #NAME? $55.60
E609 #NAME? $121.70
E610 #NAME? $263.80
E612 #NAME? $338.35
E613 #NAME? $500.00
E614 #NAME? $162.45
E615 #NAME? $250.00
E616 #NAME? $142.10
E617 #NAME? $78.80
E618 #NAME? $121.85
E619 #NAME? $162.45
E620 #NAME? $78.80
E621 #NAME? $45.85
E624 #NAME? $111.20
E625 #NAME? $142.20
E626 #NAME? $174.35
E627 #NAME? $400.00
E628 #NAME? $194.50
E629 #NAME? $137.05
E632 #NAME? $68.40
E633 #NAME? $44.55
E634 #NAME? $52.00
E635 #NAME? $67.20
E636 #NAME? $50.00
E638 #NAME? $81.90
E639 #NAME? $78.50
E641 #NAME? $137.05
E642 #NAME? $119.20
E643 #NAME? $121.65
E644 #NAME? $400.00
E645 #NAME? $371.00
E646 #NAME? $187.80
E647 #NAME? $264.70
E649 #NAME? $112.45
E650 #NAME? $371.00
E651 #NAME? $202.05
E652 #NAME? $187.85
E653 #NAME? $127.15
E654 #NAME? $188.85
E655 #NAME? $348.70
E656 #NAME? $288.85
E657 #NAME? $446.50
E658 #NAME? $278.10
E659 #NAME? $169.00
E661 #NAME? $185.15
E662 #NAME? $49.75
E663 #NAME? $183.00
E664 #NAME? $127.05
E665 #NAME? $419.00
E666 #NAME? $52.30
E667 #NAME? $266.60
E668 #NAME? $93.80
E669 #NAME? $102.75
E670 #NAME? $224.70