OHIP Billing Codes

Specialty: Pelvis And Hip

Filter by section

Code	Description	Anes	Asst	Fee
Search a description within this chart
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
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
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

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.