OHIP Billing Codes

Specialty: Skull And Mandible

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Code	Description	Anes	Asst	Fee
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Application of dental arch bars, or splint, for facial osteotomy
R354	Interdental wiring for temporomandibular joint disorder	7	6	$154.00
R652	Removal intermaxillary fixation devices under general	6		$102.35
Arthroplasty
R433	Temporomandibular joint - unilateral	10	6	$349.30
Biopsy
Z242	Bone - open	7	6	$193.00
Z869	Bone - punch, simple	7		$48.50
Z870	Bone - punch, x-ray control	6		$120.70
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
Excision
R280	Mandible	7	6	$353.10
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R284	Mandibular condyle	7	6	$276.55
R279	Maxilla advancement	8	6	$440.15
R278	Maxilla, with exenteration of orbit and skin graft	7	6	$532.95
R428	Temporomandibular meniscectomy	7	6	$249.75
Incision and Drainage
Z234	Mandibular sequestrectomy	7	7	$281.25
Orbito-Cranial Surgery
R653	anaesthesia - as sole procedure	25	10	$2,196.35
R390	Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts* (extracranial)	20	10	$1,699.45
R394	Cranial vault reshaping* anterior or posterior half	20	10	$1,525.30
R393	Forehead advancement (bone grafts not included) - bilateral	25	12	$1,443.95
R676	Forehead advancement (bone grafts not included) - unilateral	25	12	$1,187.50
Z265	Harvesting of bone graft when not included - Costochondral or chondral graft - one rib	0		$230.65
Z266	Harvesting of bone graft when not included - Costochondral or chondral graft - split cranial graft	0		$204.80
Z263	Harvesting of bone graft when not included - Iliac bone graft	0		$102.35
Z264	Harvesting of bone graft when not included - Rib graft - one rib	0		$154.00
R376	Hypertelorism correction - intracranial approach*	25	12	$2,334.85
R679	Hypertelorism correction - medial and lateral orbital wall osteotomies*	20	10	$1,612.30
R678	Hypertelorism correction - medial orbital wall osteotomies*	20	10	$1,228.70
R377	Hypertelorism correction - subcranial U osteotomies*	25	12	$1,950.15
R681	Late correction traumatic enophthalmos - extracranial	20	10	$1,443.95
R680	Late correction traumatic enophthalmos - intracranial	25	12	$1,997.05
R399	Lateral canthoplasty - unilateral	6	6	$204.80
R658	LeFort II, subcranial hypertelorism correction Le Fort I maxillary advancement*	25	12	$2,928.10
R657	LeFort III and LeFort I maxillary advancement*	25	12	$2,334.85
R656	LeFort III and subcranial hypertelorism correction*	25	12	$2,590.35
R378	LeFort III total maxillary advancement*	25	12	$2,037.35
R398	Medial transnasal canthopexy - unilateral	6	6	$414.30
R381	Orbital cranial osteotomy - extracranial approach	20	10	$1,121.50
R380	Orbital cranial osteotomy - intracranial approach	25	12	$1,495.50
R391	Orbital dystopia - intracranial approach	25	12	$1,950.15
R392	Orbital dystopia - intracranial approach	20	10	$1,485.10
R655	Pericranial flap to orbit or face - bilateral	7		$409.55
R654	Pericranial flap to orbit or face - unilateral	6		$307.15
R677	Total cranial vault reshaping*	25	12	$2,078.35
R675	Upper LeFort III advancement without occlusal change* - bilateral	25	12	$1,443.95
R659	Upper LeFort III advancement without occlusal change* - unilateral	10	6	$932.10
Orthognathic Surgery
R382	Anterior dento-alveolar osteotomy, maxilla or mandible - one segment	15	6	$803.80
R383	Anterior dento-alveolar osteotomy, maxilla or mandible - two segments	15	6	$932.10
Z239	Application of dental arch bars, or splint, for facial osteotomy - one arch bar	6	6	$133.00
Z240	Application of dental arch bars, or splint, for facial osteotomy - two arch bars	7	6	$204.80
R609	Combined LeFort I and LeFort III osteotomy in hemifacial microsomia	20	10	$1,586.20
R396	Construction absent condyle and ascending ramus*	10	6	$803.80
R395	Construction glenoid fossa and zygomatic arch* (Obwegeser technique)	20	10	$1,402.75
R644	Coronoidectomy	6	6	$307.15
R618	Coronoidotomy	7	6	$204.80
Z354	Excisional biopsy of rib for tumour	7	6	$142.20
R386	Genioplasty - one segment	10	6	$384.60
R388	Genioplasty - three segments	10	6	$767.85
R387	Genioplasty - two segments, or for laterognathia	10	6	$575.45
Z339	Intercostal drainage with insufflation of sclerosing agent under general anaesthesia	6	6	$182.90
R379	LeFort I advancement - in one segment	20	10	$803.80
R580	LeFort I cleft palate - in one segment*	20	10	$1,525.30
R567	LeFort I extrusion - in one segment*	20	10	$1,315.70
R538	LeFort I intrusion - in one segment	20	10	$1,059.35
R389	LeFort II maxillary osteotomy and advancement*	20	10	$1,443.95
R145	Mandibular condylotomy	7	6	$204.80
R518	Mandibular osteotomies for prognathism - sagittal split	15	6	$932.10
R480	Mandibular osteotomies for prognathism - subcondylar	7	6	$420.10
R384	Mandibular osteotomies for prognathism - vertical ramus	15	6	$932.10
R529	Mandibular osteotomies for retrognathia, any technique - advancement - 10 to 20 mm, inclusive	15	6	$1,058.40
R535	Mandibular osteotomies for retrognathia, any technique - advancement - greater than 20 mm	15	6	$1,356.90
R520	Mandibular osteotomies for retrognathia, any technique - advancement - up to 10 mm	15	6	$932.10
R588	Nasomaxillary osteotomy without LeFort I*	15	6	$803.80
Z262	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - bilateral	0		$563.10
Z261	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Frontal - unilateral	0		$450.50
Z254	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - bilateral	0		$507.45
Z253	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Mandible - unilateral	0		$394.80
Z256	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - bilateral	0		$507.45
Z255	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Maxilla - unilateral	0		$394.80
Z260	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - bilateral	0		$563.10
Z259	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Temporal - unilateral	0		$450.50
Z258	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - bilateral	0		$450.50
Z257	Onlay bone grafts or alloplastic reconstruction to face when not part of standard osteotomy for reconstruction - Zygoma - unilateral	0		$337.85
R647	Oral vestibuloplasty - with secondary epithelization	6	6	$204.80
R648	Oral vestibuloplasty - with skin graft	6	6	$307.15
R463	Posterior dento-alveolar osteotomy, mandible - both sides	15	6	$1,187.50
R462	Posterior dento-alveolar osteotomy, mandible - one side	15	6	$803.80
R385	Posterior dento-alveolar osteotomy, maxilla - both sides, separate segments	15	6	$1,187.50
R351	Posterior dento-alveolar osteotomy, maxilla - both sides, single segment	15	6	$932.10
R349	Posterior dento-alveolar osteotomy, maxilla - one side	15	6	$803.80
R646	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - complete	15	6	$1,023.95
R645	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Bilateral - partial	15	6	$819.15
R335	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - complete	15	6	$819.15
R334	Reconstruction mandible with bone grafts* and/or plate or prosthesis - Unilateral - partial	15	6	$409.55
R649	Temporomandibular ankylosis - excision bone or fibrous block	7	6	$461.30
R651	Temporomandibular ankylosis - with construction of condyle and ascending ramus*	15	6	$666.00
R650	Temporomandibular ankylosis - with insertion of prosthetic device or muscle flap	13	6	$511.90
R502	Total U dento-alveolar osteotomy - mandible	15	6	$1,228.70
R511	Total U dento-alveolar osteotomy - Mandibular or maxillary visor osteotomy for alveolar hypoplasia	15	6	$1,146.40
R507	Total U dento-alveolar osteotomy - maxilla	15	6	$1,315.70
Reconstruction
R533	Composite repair for facial paralysis, plication of paralyzed muscles, and resection for paralysis of over active muscles	7	6	$511.90
R532	Facial paralysis - dynamic slings	6	6	$399.00
R531	Facial paralysis - static slings	6	6	$307.15
Reduction
D062	Dislocations - Temporomandibular joint - closed reduction	6		$51.65
D063	Dislocations - Temporomandibular joint - open reduction	7	6	$256.40
F144	Fractures - Midface fractures - cranialfacial separation	10	6	$1,594.90
F143	Fractures - Midface fractures - middle 1/4 facial	8	6	$577.65
F136	Fractures - Nasal bones to include manipulation of nasal septum - closed reduction	6		$102.35
F137	Fractures - Nasal bones to include manipulation of nasal septum - open reduction	10		$316.35
E174	Fractures - Orbit - blowout fracture of floor	7	6	$667.00
E173	Fractures - Orbit open reduction rim/wall fracture - Zygomatic fracture dislocation	7	6	$594.70
F150	Fractures - Orbit with maxilla - closed reduction and dental wiring	7		$256.40
F142	Fractures - Orbit with maxilla - with wiring and local fixation	7	6	$685.20
F138	Mandible - closed reduction, includes maxillary-mandibular fixation	7	6	$350.00
F139	Mandible - open reduction, per fracture, to include intermaxillary fixation	6	6	$575.00
F140	Mandible - removal of intermaxillary fixation device(s)	0		$100.00
Surgery for Correction of Down's Syndrome Facial Stigmata
Z271	Augmentation of chin - Horizontal resection, red lower lip	0		$184.60
Z270	Augmentation of chin - with autogenous bone or cartilage*	0		$189.45
Z269	Augmentation of chin - with prosthetic implant	0		$154.00
Z268	Augmentation of zygoma (bilateral) - with autogenous bone or cartilage*	0		$230.65
Z267	Augmentation of zygoma (bilateral) - with prosthetic implant	0		$184.60
R347	Bicoronal flaps	0		$200.00

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