OHIP Billing Codes

Specialty: Nose

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Code Description Fee

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Endoscopy

Z317 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Examination under anaesthesia (EUA) of nose including suction cautery for posterior epistaxis unilateral or bilateral $112.05
Z306 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - Excision of middle turbinate concha bullosa unilateral $55.60
Z299 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - with rigid endoscope, for diagnostic evaluation, or to facilitate biopsy or surgical treatment of pathology in the posterior nasal cavity, hypopharynx or larynx $8.55
Z296 Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx) (IOP) - withflexible endoscope if only operative procedure performed $20.10

Excision

Z310 Biopsy - multiple or involving general anaesthetic $50.90
Z309 Biopsy - single $18.30
Z308 Choanal polypectomy - unilateral $55.60

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Z305 Nasal polyp - multiple or involving general anaesthetic unilateral $55.60
Z304 Nasal polyp - single $21.00
M010 Removal of foreign body - Excision of intranasal lesions by lateral rhinotomy approach $493.90
Z312 Removal of foreign body - general anaesthetic $50.90
Z311 Removal of foreign body - local anaesthetic $10.55

Incision

Z301 Drainage of abscess or haematoma $55.60
Z302 Turbinate reduction-uni or bi $55.60

Other

Z297 Excision of nasopharyngeal or oropharyngeal lesion - Insertion of prosthesis for nasal septal perforation $18.30
R182 Excision of nasopharyngeal or oropharyngeal lesion - With mandibulotomy, glossotomy and/or palatal split $1,216.80
R181 Excision of nasopharyngeal or oropharyngeal lesion - With palatal split $508.20
Z298 Nasopharynx (including oropharynx, oral cavity and hypopharynx) EUGA of nasopharynx for malignant disease including biopsies (not eligible for payment if rendered in conjunction with tonsillectomy and adenoidectomy or quadroscopy) $41.25

Reconstruction

M033 Closure or opening of nostril for atrophic rhinitis $254.15
M028 Dilation of choanal atresia - unilateral or bilateral $73.80
M018 Endonasal augmentation for atrophic rhinitis - unilateral (including obtaining graft or preparing implant) $306.85
R319 Graft to nose - autologous, bone or cartilage (without septorhinoplasty) $360.45
R320 nonautologous or prosthetic implant (without septorhinoplasty) $232.00
M017 Packing for localization of cerebrospinal rhinorrhea $39.60
M013 Partial septorhinoplasty (excluding osteotomies) $526.00
M021 Puncture and insertion of tube for choanal atresia - unilateral or bilateral $123.70
M020 Repair of choanal atresia - unilateral or bilateral $360.45
M016 Repair of septal perforation $358.70
M030 Rhinoplasty for reconstruction of cleft lip - nasal deformity - complex, to include necessary grafts and septoplasty $1,082.30
M031 Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum reconstruction to include minor lip repair (Minor revision, Z-plasty) $254.15
M032 Rhinoplasty for reconstruction of cleft lip - nasal deformity - tip and septum to include total take down of cleft lip $432.45
M015 Septodermoplasty (to include fascial and other grafts) $306.85
M012 Septoplasty $293.95
M014 Septorhinoplasty $541.65

Treatment of Epistaxis (Nasal Haemorrhage)

Z315 Anterior packing - unilateral $15.35
Z314 Cauterization - unilateral $11.50
Z313 Endoscopic transnasal ligation of the sphenopalatine artery for posterior epistaxis - unilateral $123.70
R789 Ligation of anterior ethmoidal artery - unilateral $299.85
M027 Ligation of external carotid artery - unilateral $297.25
R788 Ligation of internal maxillary artery - unilateral $408.10
Z316 Posterior packing - unilateral or bilateral $35.50

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.

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