OHIP Billing Codes

Specialty: Nose

Code Description Fee
M010 Removal of foreign body - Excision of intranasal lesions by lateral rhinotomy approach 493.9
M012 Septoplasty 293.95
M013 Partial septorhinoplasty (excluding osteotomies) 526
M014 Septorhinoplasty 541.65
M015 Septodermoplasty (to include fascial and other grafts) 306.85
M016 Repair of septal perforation 358.7
M017 Packing for localization of cerebrospinal rhinorrhea 39.6
M018 Endonasal augmentation for atrophic rhinitis - unilateral (including obtaining graft or preparing implant) 306.85
M020 Repair of choanal atresia - unilateral or bilateral 360.45
M021 Puncture and insertion of tube for choanal atresia - unilateral or bilateral 123.7

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M027 Ligation of external carotid artery - unilateral 297.25
M028 Dilation of choanal atresia - unilateral or bilateral 73.8
M030 Rhinoplasty for reconstruction of cleft lip - nasal deformity - complex, to include necessary grafts and septoplasty 1082.3
M031 Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum reconstruction to include minor lip repair (Minor revision, Z-plasty) 254.15
M032 Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum to include total take down of cleft lip 432.45
M033 Closure or opening of nostril for atrophic rhinitis 254.15
R181 Excision of nasopharyngeal or oropharyngeal lesion - With palatal split 508.2
R182 Excision of nasopharyngeal or oropharyngeal lesion - With mandibulotomy, glossotomy and/or palatal split 1216.8
R319 Graft to nose - autologous, bone or cartilage (without septorhinoplasty) 360.45
R320 nonautologous or prosthetic implant (without septorhinoplasty) 232
R788 Ligation of internal maxillary artery - unilateral 408.1
R789 Ligation of anterior ethmoidal artery - unilateral 299.85
Z296 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - withflexible endoscope if only operative procedure performed 20.1
Z297 Excision of nasopharyngeal or oropharyngeal lesion - Insertion of prosthesis for nasal septal perforation 18.3
Z298 Nasopharynx (including oropharynx, oral cavity and hypopharynx) EUGA of nasopharynx for malignant disease including biopsies (not eligible for payment if rendered in conjunction with tonsillectomy and adenoidectomy or quadroscopy) 41.25
Z299 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - with rigid endoscope, for diagnostic evaluation, or to facilitate biopsy or surgical treatment of pathology in the posterior nasal cavity, hypopharynx or larynx 8.55
Z301 Drainage of abscess or haematoma 55.6
Z302 Turbinate reduction-uni or bi 55.6
Z304 Nasal polyp - single 21
Z305 Nasal polyp - multiple or involving general anaesthetic unilateral 55.6
Z306 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Excision of middle turbinate concha bullosa unilateral 55.6
Z308 Choanal polypectomy - unilateral 55.6
Z309 Biopsy - single 18.3
Z310 Biopsy - multiple or involving general anaesthetic 50.9
Z311 Removal of foreign body - local anaesthetic 10.55
Z312 Removal of foreign body - general anaesthetic 50.9
Z313 Endoscopic transnasal ligation of the sphenopalatine artery for posterior epistaxis - unilateral 123.7
Z314 Cauterization - unilateral 11.5
Z315 Anterior packing - unilateral 15.35
Z316 Posterior packing - unilateral or bilateral 35.5
Z317 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Examination under anaesthesia (EUA) of nose including suction cautery for posterior epistaxis unilateral or bilateral 112.05

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.

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