OHIP Billing Codes
Specialty: Bladder
Code | Description | 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 | 642.65 | ||
S440 | Cystectomy - Complete - with continent urinary diversion | 1505.35 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S441 | Cystectomy - Complete - Creation of continent urinary diversion | 1033.8 | ||
S453 | Cystectomy - Complete - with ureteroileal conduit | 1275.45 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S471 | Cystectomy - Complete - Excision of urachal cyst or sinus with or without umbilical hernia repair | 302.25 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S476 | Cutaneous vesicostomy | 446 | ||
S478 | Cystotomy or cystostomy | 220.15 | ||
S481 | Cystolithotomy when sole operative procedure | 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) | 389.25 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S483 | Cystectomy - Partial - with reimplantation of ureter | 563.4 | ||
E792
- when performed laparoscopically - add 25%
|
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S484 | Cystectomy - Complete - complete cystectomy, without transplant | 807.75 | ||
E792
- when performed laparoscopically - add 25%
|
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S485 | Cystectomy - Complete - with ureterointestinal transplant | 1004.45 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S488 | Extrophy - excision of bladder and repair of abdominal wall - inclusive of graft | 220.15 | ||
S490 | Cystectomy - Partial - with reimplantation of ureters | 748.25 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S491 | Plastic repair of extrophy using bladder and including skin flaps | 670.95 | ||
S512 | Repair of ruptured bladder | 353.4 | ||
S513 | Cystoplasty, using intestine | 706.8 | ||
S518 | Plastic repair of bladder neck - child | 504.85 | ||
S519 | Plastic repair of bladder neck - adolescent or adult | 446 | ||
S521 | Litholapaxy and removal of fragments | 220.15 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S522 | Closure of fistula - External, suprapubic | 266.1 | ||
E792
- when performed laparoscopically - add 25%
|
||||
S523 | Closure of fistula - Vesicovaginal - vaginal approach | 807.75 | ||
S524 | Closure of fistula - Vesicovaginal - transvesical approach (with or without omental flap) | 555.35 | ||
E792
- when performed laparoscopically - add 25%
|
||||
Z480 | Cystotomy with trochar and cannula and insertion of tube | 87 | ||
E750
- when done in conjunction with another procedure - add
|
26.55 | |||
Z602 | Catheterization - office | 8.7 | ||
Z603 | Catheterization - home | 16.6 | ||
Z605 | Aspiration | 12.75 | ||
Z606 | Diagnostic and Therapeutic Procedures - Diagnostic with or without urethroscopy | 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 | 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 | 59.85 | ||
Z610 | Intravesical instillation of BCG or immunotherapeutic agent or chemotherapeutic agent for the treatment of bladder cancer | 26.15 | ||
Z611 | Catheterization - hospital | 8.7 | ||
Z632 | Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour 1 to 2 cm diameter | 276.8 | ||
Z633 | Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - single tumour over 2 cm diameter | 446 | ||
Z634 | Excision of tumour or tumours including base and adjacent muscles and electrocoagulation, if necessary - multiple tumours | 446 |
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OHIP Billing Codes
-
- Family Practice & Practice In General (00)
- Anaesthesia (01)
- Dermatology (02)
- General Surgery (03)
- Neurosurgery (04)
- Community Medicine (05)
- Orthopaedic Surgery (06)
- Orthorpaedic Surgery (06)
- Geriatrics (07)
- Plastic Surgery (08)
- Cardiac Surgery (09)
- Neurology (18)
- Gastroenterology (41)
- Internal And Occupational Medicine (13)
- Endocrinology & Metabolism (15)
- Nephrology (16)
- Vascular Surgery (17)
- Psychiatry (19)
- Obstetrics And Gynaecology (20)
- Genetics (22)
- Ophthalmology (23)
- Otolaryngology (24)
- Paediatrics (26)
- Infectious Disease (46)
- Laboratory Medicine (28)
- Physical Medicine & Rehabilitation (31)
- Diagnostic Radiology (33)
- Radiation Oncology (34)
- Urology (35)
- Medical Oncology (44)
- Respiratory Disease (47)
- Rheumatology (48)
- Clinical Immunology (62)
- Cardiology (60)
- Hematology (61)
- Nuclear Medicine (63)
- General Thoracic Surgery (64)
- Family Practice And Practice In General (00)
- Emergency Medicine
- Internal And Ocucpational Medicine (13)
- Infection Disease (46)
-
- Head And Neck
- Spine And Pelvis
- Chest And Abdomen
- Upper Extremities
- Skeletal Surveys
- Lower Extremities
- Gastrointestinal Tract
- Special Examinations
- Computed Tomography (CT)
- Genitourinary Tract
- Bone Mineral Density (BMD) Measurement
- Obstetrics And Gynaecology
- Miscellaneous Examinations
- Fluoroscopy - By Physician With Or Without Spot Films
-
- Laboratory Medicine
- Nerve Blocks For Acute Pain Management
- Injections And Infusions
- Dialysis
- Haematology
- Home And Self Care Services
- Ophthalmology
- Otolaryngology
- Electrocardiography (ECG)
- Cardiovascular
- Nerve Blocks - Interventional Pain Injections
- Non-Invasive Cardiography
- Neurology
- Gastroenterology
- Allergy
- Urology
- Critical Care
- Nerve Blocks - Peripheral / Other Injections
- Gynaecology
- Endocrinology And Metabolism
- Nephrology
- Psychiatry And Respiratory Disease
- Physical Medicine
- Dermatology
- Palliative Care
- Echocardiography
- Neurosurgery
- Sleep Studies
- Anaesthesia
-
- Special Visit Premiums
- Anaesthesiologists' Services
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Assessments
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Temporary COVID-19 Service
- Emergency Department Sessional Fees
- Emergency Department By Emergency Department Physician
- General Information
- Special Visit Premiums - Long-Term Care Institution
-
- Fractures Of The Spine
- Anterior Spinal Decompression
- Posterior Spinal Decompression
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Arthrodesis As Sole Procedure
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Procedures Involving Neural Elements
- Anterior Spinal Arthrodesis Following Decompression
- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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