OHIP Billing Codes

Specialty: Bladder

Code	Description	Anes	Asst	Fee
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S438	Cystectomy - Complete - Retroperitoneal lymph node dissection for bladder cancer, specimen must include obturator, internal iliac and external iliac nodes as a minimum to the level of the iliac bifurcation, bilateral	7	7	642.65
S440	Cystectomy - Complete - with continent urinary diversion	15	9	1505.35
	E792 - when performed laparoscopically - add 25%
S441	Cystectomy - Complete - Creation of continent urinary diversion	15	9	1033.8
S453	Cystectomy - Complete - with ureteroileal conduit	15	9	1275.45
	E792 - when performed laparoscopically - add 25%
S471	Cystectomy - Complete - Excision of urachal cyst or sinus with or without umbilical hernia repair	6	6	302.25
	E792 - when performed laparoscopically - add 25%
S476	Cutaneous vesicostomy	6	6	446
S478	Cystotomy or cystostomy	6	6	220.15
S481	Cystolithotomy when sole operative procedure	7	6	265.9
	E078 - chronic disease assessment premium (see General Preamble GP116) - add 50%
	E792 - when performed laparoscopically - add 25%
S482	Cystectomy - Partial - partial for tumour or diverticulum (single or multiple)	6	6	389.25
	E792 - when performed laparoscopically - add 25%
S483	Cystectomy - Partial - with reimplantation of ureter	7	6	563.4
	E792 - when performed laparoscopically - add 25%
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S484	Cystectomy - Complete - complete cystectomy, without transplant	10	6	807.75
	E792 - when performed laparoscopically - add 25%
S485	Cystectomy - Complete - with ureterointestinal transplant	13	8	1004.45
	E792 - when performed laparoscopically - add 25%
S488	Extrophy - excision of bladder and repair of abdominal wall - inclusive of graft	6	6	220.15
S490	Cystectomy - Partial - with reimplantation of ureters	7	6	748.25
	E792 - when performed laparoscopically - add 25%
S491	Plastic repair of extrophy using bladder and including skin flaps	6	6	670.95
S512	Repair of ruptured bladder	6	6	353.4
S513	Cystoplasty, using intestine	9	8	706.8
S518	Plastic repair of bladder neck - child	6	6	504.85
S519	Plastic repair of bladder neck - adolescent or adult	7	6	446
S521	Litholapaxy and removal of fragments	6		220.15
	E792 - when performed laparoscopically - add 25%
S522	Closure of fistula - External, suprapubic	7	6	266.1
	E792 - when performed laparoscopically - add 25%
S523	Closure of fistula - Vesicovaginal - vaginal approach	6		807.75
S524	Closure of fistula - Vesicovaginal - transvesical approach (with or without omental flap)	6	6	555.35
	E792 - when performed laparoscopically - add 25%
Z480	Cystotomy with trochar and cannula and insertion of tube	6		87
	E750 - when done in conjunction with another procedure - add			26.55
Z602	Catheterization - office	0		8.7
Z603	Catheterization - home	0		16.6
Z605	Aspiration	0		12.75
Z606	Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy	5		72.45
	E751 - with insertion of chemotherapeutic agent(s) - add			55.8
	E773 - with placement of ureteric stent past obstructing lesion (unilateral)- add			50.9
	E775 - with catheterization of the ureter and collection of the ureteral specimen, unilateral - add			15.65
	E776 - with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder- add			25.4
	E777 - with cystometrogram (to include urethral pressure profile if necessary)- add			11.75
	E780 - with needle biopsy of prostate - add			33.25
	E781 - with electrocoagulation tumour(s)- add			50.9
	E782 - with electrocoagulation Hunner ulcer - add			50.9
	E783 - with secondary surgical evacuation of bladder clots and control of haemorrhage - add			101.65
	E784 - with hydrodistention of bladder general anaesthetic - add			50.85
	E786 - with resection or incision bladder neck, female - add			101.7
	E787 - with resection or incision bladder neck, male - add			265.65
	E788 - with ureteral meatotomy, by any means - add			101.7
	E789 - with removal foreign body or calculus - add			101.7
	E790 - with removal of ureteric catheter - add			9
	E791 - with periurethral injection of bulking agents- add			26.5
	E817 - with catheterization of the ureter and retrograde injection of opaque media, unilateral- add			15.65
	E818 - with insertion of ureteric stent, unilateral- add			25.4
Z607	Diagnostic and Therapeutic Procedures - Repeat within 30 days	5		36.2
	E751 - with insertion of chemotherapeutic agent(s) - add			55.8
	E773 - with placement of ureteric stent past obstructing lesion (unilateral)- add			50.9
	E775 - with catheterization of the ureter and collection of the ureteral specimen, unilateral - add			15.65
	E776 - with unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder- add			25.4
	E777 - with cystometrogram (to include urethral pressure profile if necessary)- add			11.75
	E780 - with needle biopsy of prostate - add			33.25
	E781 - with electrocoagulation tumour(s)- add			50.9
	E782 - with electrocoagulation Hunner ulcer - add			50.9
	E783 - with secondary surgical evacuation of bladder clots and control of haemorrhage - add			101.65
	E784 - with hydrodistention of bladder general anaesthetic - add			50.85
	E786 - with resection or incision bladder neck, female - add			101.7
	E787 - with resection or incision bladder neck, male - add			265.65
	E788 - with ureteral meatotomy, by any means - add			101.7
	E789 - with removal foreign body or calculus - add			101.7
	E790 - with removal of ureteric catheter - add			9
	E791 - with periurethral injection of bulking agents- add			26.5
	E817 - with catheterization of the ureter and retrograde injection of opaque media, unilateral- add			15.65
	E818 - with insertion of ureteric stent, unilateral- add			25.4
Z608	Manual catheter declotting and irrigation of bladder	0		59.85
Z610	Intravesical instillation of BCG or immunotherapeutic agent or chemotherapeutic agent for the treatment of bladder cancer	0		26.15
Z611	Catheterization - hospital	0		8.7
Z632	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour 1 to 2 cm diameter	6		276.8
Z633	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour over 2 cm diameter	6		446
Z634	Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - multiple tumours	6		446

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