OHIP Billing Codes

Specialty: Pelvis And Hip

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Code	Description	Anes	Asst	Fee
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Amputation
R631	Hemipelvectomy hindquarter	15	10	$796.20
R630	Hip disarticulation	10	10	$514.80
Arthrodesis
R470	Hip	8	6	$703.45
R469	Sacro-iliac joint	7	6	$395.25
R514	Symphysis pubis	7	6	$387.00
Arthroplasty
R488	Removal only - cemented	8	6	$557.75
R443	Removal only - noncemented	8	6	$447.30
R491	Removal only - Replacement acetabular liner and/or femoral head	10	8	$353.25
R241	Revision total arthroplasty hip - one or both components - acetabular or femoral	15	9	$1,304.80
R481	Revision total arthroplasty hip - one or both components - Reattachment of greater trochanter (late)	8	6	$290.55
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R440	Total hip replacement - acetabulum and femur	10	8	$708.70
R553	Total hip replacement with take down of fusion	15	8	$972.90
R439	Unipolar	10	6	$490.95
Arthroscopy
R686	Hip arthroscopy set up, includes when rendered debridement, synovectomy, removal of loose body(ies) and/or screw, drilling of defect, microfracture, abrasion arthroplasty, and/or synovial biopsy	10	6	$669.80
Arthrotomy
R415	Hip - with removal of loose body	7	6	$301.60
R547	Sacro-iliac joint	7	6	$290.55
Biopsy
Z212	Bone - punch needle	0		$89.70
Z217	Bone - under general anaesthetic	7		$72.35
Complete Study - 1 and 2 dimensions
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
G593	COVID-19 vaccine	0		$13.00
Denervation / Decompression
N285	Exploration and/or decompression and/or transposition and/or neurolysis of major nerve (excluding carpal tunnel nerve)	7	7	$256.15
R427	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Denervation of hip	6	6	$387.00
N188	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - minor nerve including digital, cutaneous or lateral femoral cutaneous nerve	7	6	$153.70
N177	Exploration, decompression, division, excision, biopsy, neurolysis and/or transposition - Sciatic nerve in buttock	7	7	$430.75
Examination / Manipulation
Z252	Manipulation - under general anaesthetic	6		$39.00
Excision
F115	Bone - Coccyx	6	6	$208.80
R315	Bone - Head and neck, femur	6	6	$452.90
R330	Bone - Major resection tumour	7	6	$629.65
R216	Bone - Radical resection tumour	8	8	$1,007.35
R639	Bone - Simple cyst, etc	7	6	$338.75
R590	Bursae - GT trochanteric/ischial	7	6	$201.40
Z570	Fulguration of first polyp through colonoscope	0	0
R263	Hip	7	6	$578.55
R423	Joint - Synovectomy/debridement	7	6	$470.50
Z232	Muscle/tendon - Tenotomy - closed adductors	6		$49.20
R545	Muscle/tendon - Tenotomy - iliopsoas	6	6	$266.35
Z233	Muscle/tendon - Tenotomy - open adductors	7		$97.35
R265	Osteotomy - Pelvis - infant	8	8	$399.00
R273	Osteotomy - Pelvis - other	8	8	$623.35
Z569	Peritoneal abscess - Pelvic abscess, incision and drainage rectal or vaginal approach	7		$122.05
R328	Pseudoarthrosis - Hip	6	6	$872.65
R364	Pseudoarthrosis - Pelvis	10	8	$580.90
Incision and Drainage
R269	Bone	7	6	$290.55
R250	Saucerization and bone graft	6	6	$627.30
R249	Sequestrectomy	7	6	$379.50
Reconstruction
R570	Iliopsoas	7	6	$520.60
R569	Tendon transfer - Abductor	6	6	$339.65
Reduction
D052	Dislocations - Acetabulum - open reduction lips	8	7	$612.45
D046	Dislocations - Acetabulum - open reduction one pillar	10	6	$967.90
D047	Dislocations - Acetabulum - open reduction two pillars	12	8	$1,451.45
Z291	Dislocations - Congenital hip - Application Pavlik Harness or C.D.H. Splint	0		$24.10
R404	Dislocations - Congenital hip - closed reduction (includes tenotomy and cast)	7		$190.20
R406	Dislocations - Congenital hip - open reduction (includes tenotomy and arthrotomy)	7	7	$472.35
R405	Dislocations - Congenital hip - repeat (includes cast)	6		$131.80
D042	Dislocations - Hip - closed reduction	6		$268.25
R628	Dislocations - Hip - late, after four weeks open	10	7	$774.90
D043	Dislocations - Hip - open reduction	7	7	$406.45
D061	Dislocations - Sacro-coccygeal - open, removal of coccyx	6	6	$193.00
D059	Dislocations - Sacro-iliac - closed, traction, spica, etc	6		$428.50
D060	Dislocations - Sacro-iliac - open reduction	6	6	$593.00
F098	Fractures - Femoral neck trochanteric, subtrochanteric - closed reduction/traction	6	6	$426.90
R600	Fractures - Femoral neck trochanteric, subtrochanteric - delayed/staged graft	8	6	$289.50
F100	Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin and plate/screws (cannulated included)	10	6	$659.45
F099	Fractures - Femoral neck trochanteric, subtrochanteric - open reduction pin only	8	6	$408.30
F101	Fractures - Femoral neck trochanteric, subtrochanteric - open reduction primaryprosthesis, femur only (includes Moore, Thompson, Unipolar, Bipolar)	10	6	$669.60
F134	Fractures - Pelvic ring - closed reduction	6	6	$442.45
F135	Fractures - Pelvic ring - open reduction	8	6	$680.30
R642	Fractures - Slipped epiphysis - closed reduction/internal fixation	8	6	$387.00
R607	Fractures - Slipped epiphysis - closed reduction/traction	8	6	$387.00
R627	Fractures - Slipped epiphysis - open reduction/fixation	8	6	$580.90

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