OHIP Billing Codes

Specialty: Rectum

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Code	Description	Anes	Asst	Fee
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Colonoscopy
Z555	Absence of signs or symptoms or risk factors, 50 years of age or older sigmoid to descending colon	5		$51.95
Z499	Absence of signs or symptoms, family history associated with an increased risk of malignancy (e.g. a first degree relative or at least two second degree relatives with colorectal cancer or a premalignant lesion) sigmoid to descending colon	5		$51.95
Z496	Colonoscopy - For diagnosis or ongoing management - Presence of signs or symptoms sigmoid to descending colon	5		$51.95
Z497	Confirmatory colonoscopy - sigmoid to descending colon	5		$51.95
Z517	Excision of first polyp (10 mm to 19 mm)	4		$150.15
	E519 - each additional polyp (10 mm - 19 mm) - add			$77.50
Z516	Excision of first polyp (20 mm to 29 mm)	4		$150.15
	E518 - each additional polyp (20 mm - 29 mm) - add			$77.50
Z571	Excision of first polyp greater than or equal to 3mm through colonoscope	4		$150.15
Z765	Excision of obstructive tumour or stricture through colonoscopy - 2 cm or greater	0		$131.75
Z764	Excision of obstructive tumour or stricture through colonoscopy - less than 2 cm	0		$69.80
Z492	Five year follow up of normal colonoscopy (Z499), absence of intervening signs or symptoms - sigmoid to descending	5		$51.95
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Z498	Follow up of abnormal colonoscopy sigmoid to descending colon	5		$51.95
Z491	Follow up of incomplete polyp resection	5		$51.95
Z495	Follow up of unsatisfactory colonoscopy	5		$51.95
Z494	Hereditary (e.g. Familial adenomatous Polyposis or Hereditary NonPolyposis Colorectal Cancer) or other bowel disorders (e.g. inflammatory bowel disease) associated with increased risk of malignancy	5		$51.95
Z513	Hydrostatic Pneumatic dilatation of colon stricture(s) through colonoscope	0		$107.50
Z493	Ten year follow up of normal colonoscopy (Z497, Z555), absence of intervening signs or symptoms sigmoid to descending	5		$51.95
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
Destruction
Z548	Cauterization of fissure	6		$34.90
Z758	Fulguration of condylomata - general anaesthetic	6	6	$97.65
Z549	Fulguration of condylomata - local anaesthetic	0		$30.95
Endoscopy
Z543	Anoscopy (proctoscopy)	0		$8.70
Z560	Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient within 3 months)	4		$92.10
Z512	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy	4		$36.80
Z514	Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy - with biopsy	4		$44.55
Z536	Sigmoidoscopy with or without anoscopy - with biopsy(ies)	4		$44.55
Z592	Sigmoidoscopy with or without anoscopy - with decompression of volvulus	4		$49.40
Z535	Sigmoidoscopy with or without anoscopy - with rigid scope	4		$36.80
Z749	Subsequent procedure (within three months following previous endoscopic procedure)	4		$72.55
Excision
Z546	Barron ligation(s) (not to exceed 6 in any one year)	0		$34.60
Z566	Barron ligation(s) plus cryotherapy (not to exceed 6 in any one year)	0		$39.10
Z752	Biopsy of rectosigmoid or above for Hirschsprungs disease	6	6	$82.35
S218	Colon reconstruction following Hartmann procedure	8	8	$1,086.75
Z565	Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) including rectal dilation	6		$99.60
Z757	Excision of benign anal lesion(s)	6	6	$47.15
S251	Fistulainano	6	6	$213.15
S247	Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or sphincterotomy and/or anal dilation	6	6	$260.15
S217	Hartmann procedure	9	8	$1,063.60
S188	Ileostomy - Bowel resection without anastomosis (colostomy and mucous fistula)	6	6	$770.55
S170	Ileostomy - plus total colectomy plus abdominoperineal resection	10	9	$2,183.65
S168	Ileostomy - subtotal colectomy	7	7	$1,260.40
S173	Ileostomy - Two-surgeon team - abdominal	10	9	$1,812.00
S174	Ileostomy - Two-surgeon team - perineal	0		$533.80
S189	Ileostomy -Intestinal bypass for morbid obesity	10	7	$951.20
S178	Intestinal obstruction (mechanical) - Intestinal atresia (newborn)	7	6	$1,512.75
S179	Intestinal obstruction (mechanical) - Meconium ileus	7	6	$1,512.75
S176	Intestinal obstruction (mechanical) - One stage - with entero-enterostomy	7	6	$894.85
S180	Intestinal obstruction (mechanical) - One stage - with enterotomy	7	6	$824.80
S177	Intestinal obstruction (mechanical) - One stage - with resection	7	6	$1,055.25
S175	Intestinal obstruction (mechanical) - One stage - without resection	7	6	$712.35
S249	Local excision for malignancy	7	6	$291.05
S162	Local excision of lesion of intestine	7	6	$528.85
Z755	Polyps or tumours of rectum or sigmoid * - electrocoagulation base 2 to 5 cm, inclusive	6	6	$142.40
Z761	Polyps or tumours of rectum or sigmoid * - electrocoagulation base over 5 cm	7	6	$219.90
Z753	Polyps or tumours of rectum or sigmoid * - electrocoagulation base under 2 cm	7		$24.25
Z784	Polyps or tumours of rectum or sigmoid * - excision and suture base 2 to 5 cm, inclusive	6	6	$213.50
Z785	Polyps or tumours of rectum or sigmoid * - excision and suture base over 5 cm	7	6	$582.95
Z754	Polyps or tumours of rectum or sigmoid * - excision base under 2 cm	6	6	$82.35
S222	Presacral or transsacral proctotomy and excision of lesion	7	6	$474.35
S214	Proctectomy - Abdominoperineal resection or pull through	10	8	$1,524.20
S213	Proctectomy - Anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection)	8	8	$1,204.50
Z750	Resection of exteriorized intestine	7	6	$82.35
S167	Resection with anastomosis - Large intestine any portion	7	7	$877.95
S171	Resection with anastomosis - Left hemicolectomy with anterior resection or proctosigmoidectomy (anastomosis below peritoneal reflection & mobilization of splenic flexure)	8	7	$1,128.10
S166	Resection with anastomosis - Small and large intestine terminal ileum, cecum and ascending colon (right hemicolectomy)	7	7	$899.85
S164	Resection with anastomosis - Small intestine - duodenum	7	6	$1,015.15
S165	Resection with anastomosis - Small intestine - other	7	6	$741.45
S169	Resection with anastomosis - Total colectomy with ileorectal anastomosis	9	9	$1,313.65
S172	Resection with anastomosis - Total colectomy with mucosal proctectomy with ileal pouch, ileoanal anastomosis and loop ileostomy	10	9	$2,247.70
S183	Revision of ileostomy or colostomy - Cecopexy or sigmoidopexy (as sole procedure)	6	6	$314.80
S191	Revision of ileostomy or colostomy - Complete reconstruction of continent ileostomy to include valve repair	7	6	$951.20
S182	Revision of ileostomy or colostomy - full thickness	7	6	$467.90
S193	Revision of ileostomy or colostomy - Revision of standard ileostomy into continent ileostomy pouch	7	6	$793.50
S192	Revision of ileostomy or colostomy - Simple revision of continent ileostomy pouch	7	6	$387.40
S181	Revision of ileostomy or colostomy - skin level	7	6	$131.75
S215	Two surgeon team - abdominal surgeon	10	8	$1,107.50
S216	Two surgeon team - perineal surgeon	0		$459.05
Incision
Z544	Biopsy	6		$34.90
S158	Enterotomy - Cecostomy	7	6	$387.40
S155	Enterotomy - Colonoscopy with laparotomy	7	6	$387.40
S157	Enterotomy - Colostomy	7	6	$470.65
S160	Enterotomy - Enteroenterostomy	7	6	$470.65
S156	Enterotomy - Exteriorization of intestine (Mickulicz)	6	6	$406.85
S149	Enterotomy - Ileostomy	7	6	$470.65
S151	Enterotomy - Insertion of feeding enterostomy	7	6	$356.50
S154	Enterotomy - Large intestine including excision of polyps	7	6	$406.85
S150	Enterotomy - Small intestine including excision of polyps or biopsy	7	6	$406.85
S243	Sphincterotomy(ies) under general anaesthesia	6	6	$200.00
S241	Sphincterotomy(ies) under local anaesthesia	0	6	$88.20
Z545	Thrombosed haemorrhoid(s)	6		$25.25
Injection
Z575	Haemorrhoid injections (to a maximum of 6 per year)	0		$27.05
Z576	Injections for anal fissure	6		$35.90
Manipulation
Z541	Dilation and/or disimpaction or removal of foreign body under general anaesthetic (as sole procedure)	6		$58.15
Z550	Dilation of anal sphincter	6		$12.05
Z539	Dilation of gastrostomy, enterostomy, colostomy, etc.	6		$25.25
Z756	Fecal disimpaction no anaesthetic	0		$36.80
Z540	Intubation of small intestine (therapeutic or diagnostic) - with or without fluoroscopy	0		$79.80
S248	Peter Lord procedure	6		$43.60
Z538	Reduction of prolapse	6		$25.25
Repair
S223	Anastomosis of rectum	6	6	$488.20
S257	Anoplasty, for stenosis	6	6	$275.05
S256	Excision of scar, for stenosis	6	6	$142.40
S260	High imperforate anus repair (supralevator)	7	7	$1,801.00
S253	Low imperforate anus repair	7	7	$1,224.00
S227	Rectal prolapse - abdominal approach	8	6	$688.75
S225	Rectal prolapse - excision of mucous membrane	7	6	$239.20
S228	Rectal prolapse - insertion of Thiersh wire	6	6	$190.85
S226	Rectal prolapse - perineal repair major	6	6	$356.50
S258	Repair of anal sphincter	7	6	$275.05
S259	Repair of anal sphincter and ano-rectal ring	6	6	$356.50
Sigmoidoscopy
Z580	Sigmoidoscopy (using 60 cm. flexible endoscope)	5		$57.70
Suture
S185	Closure of colostomy or enterostomy with or without resection and/or anastomosis	7	6	$504.70
S231	Closure of fistula - rectovaginal (any repair)	7		$338.55
S525	Closure of fistula - rectovesical	7	6	$446.90
S187	Plication of small intestine for adhesions	7	6	$528.85
S184	Suture of intestine	7	6	$314.80
S229	Suture of rectum, traumaexternal approach	7	6	$355.45

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