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OHIP Billing Codes
Specialty: Operations Of The Breast
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| Code | Description | Anes | Asst | Fee |
|---|---|---|---|---|
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Complete Study - 1 and 2 dimensions |
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| G571 | Professional component | 0 | $96.20 | |
|
G400
Physician-in-charge - 1st day
|
$223.10 | |||
| G570 | Technical component | 0 | $118.95 | |
|
G400
Physician-in-charge - 1st day
|
$223.10 | |||
COVID-19 Immunization |
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| G593 | COVID-19 vaccine | 0 | $13.00 | |
Excision |
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| R505 | Ankle - Metatarsal/phalangeal | 6 | 6 | $144.80 |
| R108 | Mastectomy - female (with or without biopsy) - simple | 7 | 6 | $330.00 |
| R117 | Mastectomy - female (with or without biopsy) - subcutaneous with nipple preservation | 7 | 6 | $273.95 |
| R148 | Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - simple | 7 | 6 | $273.95 |
| R149 | Mastectomy - male - Unilateral for treatment of pathological male breast disease (with or without biopsy), e.g. carcinoma - subcutaneous with nipple preservation | 7 | 6 | $273.95 |
| R146 | Mastectomy - male (benign) - simple | 7 | 6 | $177.50 |
| R147 | Mastectomy - male (benign) - subcutaneous with nipple preservation | 7 | 6 | $273.95 |
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| R109 | Mastectomy, radical or modified radical (with or without biopsy) | 7 | 6 | $685.00 |
| R111 | Partial mastectomy or wedge resection for treatment of breast disease, with or without biopsy, e.g. carcinoma or extensive fibrocystic disease | 7 | 6 | $269.40 |
| R107 | Tumour or tissue for diagnostic biopsy and/or treatment, e.g. carcinoma, fibroadenoma or fibrocystic disease (single or multiple same breast) | 6 | 6 | $169.95 |
Incision |
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| Z139 | Aspiration of cyst - one or more | 0 | $37.20 | |
| Z740 | Drainage of intramammary abscess or haematoma - Single or multiloculated generalanaesthetic | 6 | $133.80 | |
| Z140 | Drainage of intramammary abscess or haematoma - Single or multiloculated local anaesthetic | 0 | $33.00 | |
| Z143 | Needle biopsy - large core breast biopsy (14 gauge or larger bore needle) | 0 | $132.75 | |
| Z141 | Needle biopsy - one or more | 0 | $37.20 | |
Repair |
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| R112 | Augmentation mammoplasty unilateral | 7 | 6 | $350.00 |
| Z182 | Breast capsulectomy | 7 | 6 | $255.05 |
| R156 | Breast mound creation by insertion of tissue expander, includes creation of submuscular pocket | 6 | 6 | $425.00 |
| R118 | Breast skin reconstruction by local flaps or grafts, includes Wise pattern skin flaps and deepithelialized skin flaps | 6 | 6 | $405.60 |
| R144 | Contralateral balancing augmentation mammoplasty | 6 | 6 | $350.00 |
| R143 | Contralateral balancing mastopexy or reduction, to include nipple transplantation or grafting, if rendered | 6 | 6 | $472.15 |
| R120 | Nippleareola reconstruction by grafts and/or flaps | 7 | 6 | $300.00 |
| R142 | Nippleareola tattooing unilateral | 0 | $175.00 | |
| Z135 | Open capsulotomy with or without replacement of breast prosthesis | 7 | 6 | $195.95 |
| R119 | Post-mastectomy breast reconstruction - Breast mound creation by prosthesis as sole procedure | 7 | 6 | $350.00 |
| R110 | Reduction mammoplasty and augmentation mammoplasty (other than post-mastectomy breast reconstruction) - Reduction mammoplasty (female, to include nipple transplantation or grafting, if rendered) unilateral | 7 | 6 | $472.15 |
| Z142 | Removal of breast prosthesis | 7 | 6 | $150.00 |
| R114 | Revision of breast mound | 7 | 6 | $230.30 |
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.
OHIP Billing Codes
-
- Anaesthesia (01)
- Cardiac Surgery (09)
- Cardiology (60)
- Clinical Immunology (62)
- Community Medicine (05)
- Critical Care Medicine (11)
- Dermatology (02)
- Diagnostic Radiology (33)
- Emergency Medicine
- Endocrinology & Metabolism (15)
- Family Practice & Practice In General (00)
- Family Practice And Practice In General (00)
- Family Practive And Practive In General
- Gastroenterology (41)
- General Surgery (03)
- General Thoracic Surgery (64)
- Genetics (22)
- Geriatrics (07)
- Hematology (61)
- Infection Disease (46)
- Infectious Disease (46)
- Internal And Occupational Medicine (13)
- Internal And Ocucpational Medicine (13)
- Laboratory Medicine (28)
- Medical Oncology (44)
- Nephrology (16)
- Neurology (18)
- Neurosurgery (04)
- Nuclear Medicine (63)
- Obstetrics And Gynaecology (20)
- Ophthalmology (23)
- Opthalmology (23)
- Orthopaedic Surgery (06)
- Orthorpaedic Surgery (06)
- Otolaryngology (24)
- Paediatrics (26)
- Physical Medicine & Rehabilitation (31)
- Plastic Surgery (08)
- Psychiatry (19)
- Radiation Oncology (34)
- Respiratory Disease (47)
- Rheumatology (48)
- Urology (35)
- Vascular Surgery (17)
-
- Bone Mineral Density (BMD) Measurement
- Chest And Abdomen
- Computed Tomography (CT)
- Fluoroscopy - By Physician With Or Without Spot Films
- Gastrointestinal Tract
- Genitourinary Tract
- Head And Neck
- Lower Extremities
- Miscellaneous Examinations
- Obstetrics And Gynaecology
- Skeletal Surveys
- Special Examinations
- Spine And Pelvis
- Upper Extremities
-
- Allergy
- Anaesthesia
- Cardiovascular
- Critical Care
- Dermatology
- Dialysis
- Echocardiography
- Electrocardiography (ECG)
- Endocrinology And Metabolism
- Gastroenterology
- Gynaecology
- Haematology
- Home And Self Care Services
- Injections And Infusions
- Injections Or Infusions
- Laboratory Medicine
- Nephrology
- Nerve Blocks - Interventional Pain Injections
- Nerve Blocks - Peripheral / Other Injections
- Nerve Blocks For Acute Pain Management
- Neurology
- Neurosurgery
- Non-Invasive Cardiography
- Ophthalmology
- Otolaryngology
- Palliative Care
- Physical Medicine
- Psychiatry And Respiratory Disease
- Sleep Studies
- Urology
-
- Anaesthesiologists' Services
- Assessments
- Emergency Department By Emergency Department Physician
- Emergency Department Sessional Fees
- General Information
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Special Visit Premiums
- Special Visit Premiums - Long-Term Care Institution
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Temporary COVID-19 Service
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- Anterior Spinal Arthrodesis Following Decompression
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Anterior Spinal Decompression
- Deformities Of The Spine
- Fractures Of The Spine
- Meningocoele And Myelomeningocoele
- Posterior Spinal Arthrodesis As Sole Procedure
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Decompression
- Procedures Involving Neural Elements
- Procedures On Musculoskeletal Elements
- Revision Procedures For Spinal Surgery
- Tumours / Infections Of The Spine
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