OHIP Billing Codes

Specialty: Chest Wall And Mediastinum

Code	Description	Anes	Asst	Fee
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M105	Chest wall tumour, resection of 2 or 3 ribs or cartilages	13	9	663.05
	E847 - with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add			76.5
M106	Chest wall reconstruction - Mediastinal tumour	13	9	1024.2
	E601 - for each additional rib (more than 3) to a maximum of 3 additional - add			58.65
	E602 - with sternal resection - add			181.55
	E683 - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28%
	E847 - with reconstruction of diaphragm requiring repair with mesh or equivalent synthetic material - add			76.5
M107	Chest wall reconstruction - Total sternectomy	13	9	828.6
	E601 - for each additional rib (more than 3) to a maximum of 3 additional - add			58.65
	E602 - with sternal resection - add			181.55
M108	Chest wall reconstruction - Ligation of thoracic duct as sole procedure	6	6	418.7
	E601 - for each additional rib (more than 3) to a maximum of 3 additional - add			58.65
	E602 - with sternal resection - add			181.55
	E683 - when performed thorascopically or by video-assisted thoracic surgery (VATS) - add 28%
M111	Thoracoplasty - one stage	10	9	310.3
	E605 - for each additional rib (more than 3) to a maximum of 3 additional - add			56.7
M116	Chest wall - pleura - fixation for trauma	7	6	357.05
	E604 - for fixation of each additional rib exceeding four ribs - add			56.7
	E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add			183.15
M117	Chest wall - pleura - Sternal fixation for trauma	6	6	256.5
	E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add			183.15
N284	Chest wall reconstruction - Excision of first rib and/or cervical rib to include scalenotomy when required	6	6	416.2
R352	Chest wall - pleura - Pectus excavatum or carinatum repair (by reconstruction, not implant)	11	6	849.05
	E640 - after chest wall resection where a significant defect (minimum 5 cm in diameter) remains requiring repair with synthetic material - add			183.15
Z328	Mediastinoscopy - with mediastinotomy	7	6	485.35
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Z329	Mediastinoscopy	7	6	387.65
Z330	Mediastinoscopy - with bronchoscopy	7	6	499.85
Z333	Mediastinoscopy - with transbronchial biopsy under image intensification (including bronchoscopy)	7	6	323.6
Z347	Anterior mediastinotomy - when sole procedure performed	6	6	306.05
Z348	Mediastinoscopy - with bronchoscopy and mediastinotomy	7	6	618.05
Z353	Incisional biopsy of chest wall tumour	7	6	113.15
	E641 - endoscopic placement of stent in rectum - add			139.8
Z357	Thoracic window creation	7	6	232.85
Z358	Thoracic window closure	6	6	113.45
Z742	Phrenicotomy	6	6	108.6

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