OHIP Billing Codes

Specialty: Nose

Code	Description	Anes	Asst	Fee
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M010	Removal of foreign body - Excision of intranasal lesions by lateral rhinotomy approach	7	6	503.85
M012	Septoplasty	10		299.85
	E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap - add			121.6
	E840 - with repair of septal perforation - add			121.6
M013	Partial septorhinoplasty (excluding osteotomies)	10		536.55
	E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap - add			121.6
	E840 - with repair of septal perforation - add			121.6
M014	Septorhinoplasty	10	6	552.55
	E642 - if performed by external approach using transverse columellar and rim incisions with elevation of nasal tip skin flap - add			121.6
	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
M015	Septodermoplasty (to include fascial and other grafts)	7		313
M016	Repair of septal perforation	7		365.9
M017	Packing for localization of cerebrospinal rhinorrhea	6		40.4
M018	Endonasal augmentation for atrophic rhinitis - unilateral (including obtaining graft or preparing implant)	7		313
M020	Repair of choanal atresia - unilateral or bilateral	6	6	367.7
M021	Puncture and insertion of tube for choanal atresia - unilateral or bilateral	6		126.2
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M027	Ligation of external carotid artery - unilateral	6	6	303.2
M028	Dilation of choanal atresia - unilateral or bilateral	6		75.3
M030	Rhinoplasty for reconstruction of cleft lip - nasal deformity - complex, to include necessary grafts and septoplasty	7	6	1104.05
M031	Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum reconstruction to include minor lip repair (Minor revision, Z-plasty)	7		259.25
M032	Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum to include total take down of cleft lip	6		441.15
M033	Closure or opening of nostril for atrophic rhinitis	7		259.25
R181	Excision of nasopharyngeal or oropharyngeal lesion - With palatal split	7	6	518.4
R182	Excision of nasopharyngeal or oropharyngeal lesion - With mandibulotomy, glossotomy and/or palatal split	10	7	1241.25
R319	Graft to nose - autologous, bone or cartilage (without septorhinoplasty)	7	6	367.7
R320	nonautologous or prosthetic implant (without septorhinoplasty)	7	6	236.65
R788	Ligation of internal maxillary artery - unilateral	10	7	416.3
R789	Ligation of anterior ethmoidal artery - unilateral	7	6	305.9
Z296	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - withflexible endoscope if only operative procedure performed	0		20.5
Z297	Excision of nasopharyngeal or oropharyngeal lesion - Insertion of prosthesis for nasal septal perforation	0		18.65
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)	6		42.1
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	0		8.7
Z301	Drainage of abscess or haematoma	6		56.7
Z302	Turbinate reduction-uni or bi	6		56.7
Z304	Nasal polyp - single	0		21.4
	E839 - with flexible endoscope - add			19.6
Z305	Nasal polyp - multiple or involving general anaesthetic unilateral	7		56.7
Z306	Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Excision of middle turbinate concha bullosa unilateral	7		56.7
Z308	Choanal polypectomy - unilateral	7		56.7
Z309	Biopsy - single	0		18.65
	E839 - with flexible endoscope - add			19.6
Z310	Biopsy - multiple or involving general anaesthetic	6		51.9
Z311	Removal of foreign body - local anaesthetic	0		10.75
	E839 - with flexible endoscope - add			19.6
Z312	Removal of foreign body - general anaesthetic	6		51.9
Z313	Endoscopic transnasal ligation of the sphenopalatine artery for posterior epistaxis - unilateral	0		126.2
Z314	Cauterization - unilateral	6		11.75
	E839 - with flexible endoscope - add			19.6
Z315	Anterior packing - unilateral	6		15.65
	E839 - with flexible endoscope - add			19.6
Z316	Posterior packing - unilateral or bilateral	6		36.2
	E839 - with flexible endoscope - add			19.6
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	6		114.3

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