OHIP Billing Codes

Specialty: Kidney And Upper Urinary Tract

Filter by section

Code	Description	Anes	Asst	Fee
Search a description within this chart
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
Endoscopic Procedures
Z628	Cystoscopy and diagnostic Ureteroscopy - above intramural	6		$125.70
S470	Cystoscopy with manipulation and/or removal of calculus and retrograde pyelogram if required	6		$240.65
Z638	Endoscopic treatment of vesicoureteral reflux by subureteral injection of agent, unilateral or bilateral	6	6	$450.00
Excision
S410	Calycectomy with diversion of urine	7	7	$512.00
S412	Nephrectomy - ectopic kidney	7	7	$467.00
S424	Nephrectomy - Extrophy plastic closure of bladder with closure of abdominal wall and urethral lengthening with closure of pelvic floor with or without reimplantation of ureters	10	7	$1,237.25
S413	Nephrectomy - lumbar	7	7	$467.00
The Ultimate OHIP Billing Guide New to billing? Not sure where to start? Our Ultimate Billing Guide outlines every aspect of Ontario billing. View the guide
S420	Nephrectomy - Nephroureterectomy, total, with resection of ureterovesical junction	10	7	$673.10
S416	Nephrectomy - thoracoabdominal or radical nephrectomy	13	9	$907.00
S415	Nephrectomy - transperitoneal	7	7	$522.50
S411	Partial or heminephrectomy	7	7	$907.00
S423	Partial or heminephrectomy with total ureterectomy	7	7	$757.85
S449	Ureterectomy - including ureterovesical junction	7	6	$445.40
S450	Ureterectomy - other e.g. partial	7	6	$331.70
Extra Renal Procedures
S431	Excision of retroperitoneal tumour	7	7	$381.60
S432	Exploration of retroperitoneal tumour	7	7	$260.85
Z630	Extracorporeal shock wave lithotripsy	6		$314.20
S433	Sacrococcygeal teratoma	6	6	$437.20
Incision
S401	Drainage of kidney abscess	7	7	$411.30
S402	Drainage of perinephric abscess	7	7	$267.60
S403	Exploration of renal and perirenal tissues (with or without biopsy or unroofing of cyst)	7	7	$356.70
S400	Laparoscopic placement of probe(s) for ablation of renal tumour	7	7	$404.95
S405	Nephrolithotomy - open	7	7	$482.40
S408	Pyelolithotomy - open	7	7	$437.20
S430	Removal of staghorn calculus filling renal pelvis and calyces - open, with or without x-ray control and/or anatrophic nephrolithotomy	9	7	$657.75
Z601	Renal biopsy, needle	6		$143.55
S448	Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - lower 1/3	7	6	$522.50
S447	Ureterotomy, abdominal or vaginal exploratory or for drainage - Where ureter has been previously opened - upper 2/3	6	6	$437.20
S446	Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - lower 1/3	7	6	$482.40
S445	Ureterotomy, abdominal or vaginal exploratory or for drainage - With removal of calculus - upper 2/3	7	6	$376.80
Percutaneous Procedures
Z600	Change of nephrostomy tube	0		$44.00
Z624	Dilatation of tract	0		$105.25
Z636	Endoscopic ureterotomy or pyelotomy	7		$273.25
Z623	Insertion of stent	0		$95.10
Z626	Nephroscopy, percutaneous or retrograde	6		$95.95
Z637	Percutaneous ablation of calyceal diverticulum to include dilation of communication	6		$262.75
Z629	Percutaneous nephrostomy	6		$153.35
Z627	Removal of renal calculi	7	6	$168.25
Z625	Selective catheterization of calyces (one or more)	0		$52.70
Renal Transplantation Procedures
S436	Donor nephrectomy unilateral or bilateral (to include renal perfusion with hypothermia when rendered by surgeon)	8	7	$653.20
Z631	Fine needle aspiration of renal transplant	0		$45.15
S434	Kidney re-transplant	13	9	$1,858.15
S435	Kidney transplant	13	9	$1,553.15
S437	Renal autotransplantation	10	7	$1,161.60
Repair
S427	Bladder flap (Boari) - to include re-implantation of ureter	6	6	$502.45
S422	Pyeloplasty (with or without nephropexy)	7	7	$907.00
S451	Re-implantation - Ureterovesical anastomosis or reimplantation unilateral	8	6	$490.25
S561	Re-implantation of ureter with extensive tapering with or without ureterolysis	8	6	$693.45
S562	Re-implantationof bifid ureter	8	6	$539.50
S428	Symphysiotomy for horseshoe kidney with or without nephropexy and associated procedures	7	7	$494.90
S452	Ureteroileal conduit	9	6	$788.15
S454	Ureteroileal conduit - with ureterectomy and ileal replacement	9	6	$893.50
S462	Ureterointestinal anastomosis - bilateral	6	6	$438.35
S455	Ureterointestinal anastomosis - unilateral	7	6	$331.70
S460	Ureterolysis for periureteral fibrosis - unilateral	6	6	$448.00
S461	Ureteroplasty (Hutch) - unilateral	6	6	$331.70
S458	Ureterostomy - Cutaneous - unilateral	6	6	$494.90
S463	Ureterostomy - Cutaneous - with lower third ureterotomy	6	6	$381.60
S459	Ureterostomy - Ureterovaginal fistula	6	6	$557.85
S457	Ureteroureterostomy	8	6	$552.30
Suture
S429	Ruptured or lacerated kidney repair or removal	7	7	$437.20
S466	Traumatic rupture, or transection (partial or complete) - Immediate - lower 1/3	6	6	$437.20
S465	Traumatic rupture, or transection (partial or complete) - Immediate - upper 2/3	6	6	$381.60
S468	Traumatic rupture, or transection (partial or complete) - Late repair - lower 1/3	7	6	$482.40
S467	Traumatic rupture, or transection (partial or complete) - Late repair - upper 2/3	6	6	$437.20

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.