OHIP Schedule of Benefits (Ontario fee codes) Code system

Canonical	../CodeSystem/on-ohip-schedule-of-benefits
Status	draft · 1.26.0
Content	not-present
Source	FSH · JSON

The Ontario Health Insurance Plan (OHIP) Schedule of Benefits fee codes -- the service codes carried on Ontario physician claims, and what Invoice.lineItem.chargeItem[x].coding[ohip] identifies.

This artifact enumerates no codes, and the sample below is not a substitute for the schedule. The artifact declares the system so that a fee code pinned to it is recognisable as an OHIP fee code and the system URI resolves to a definition; the page then shows a sample so a reader can see what these codes look like. Neither is the code system. Obtain that from the Ontario Ministry of Health: the Schedule of Benefits for Physician Services, and also the Laboratory, Dental and Optometry schedules, which carry codes the physician schedule does not (T codes are dental and V codes are optometry -- reading only the physician schedule silently loses several hundred codes).

A fee code is only correct relative to a dated edition. The Schedule of Benefits is incorporated by reference into R.R.O. 1990, Reg. 552 under Ontario's Health Insurance Act and is amended only by regulation change, twice yearly and by interim update. Reg. 552 defines the schedule as the Ministry's published document of that name and excludes its commentary and certain appendices, so the fee codes and the conditions on claiming them are the part with regulatory force. Read a code against the edition in force on the date of service, not the date you are reading: codes are added, amended and delisted, and a code that was billable is not necessarily billable now.

Codes are the schedule's own alphanumeric service codes in their BASE four-character form (for example A007). Case-sensitive. A trailing A, B or C seen in billing software is a suffix naming which component of the service is being claimed, not part of the code: it is carried beside the code, never appended to it.

No canonical is published upstream. Ontario does not publish a FHIR canonical for the schedule, so this specification names one. The URI is stable: it is pinned in stored Coding.system values and will not be changed.

The OHIP diagnostic codes are a different code set, and the trap is that they look like ICD-9

An OHIP claim carries two codes: a fee code from this system, and a diagnostic code from Ontario's own three-digit diagnostic set, which has its own system URI and is not this one. The diagnostic set is where implementers lose data, so the warning belongs beside the system they will reach for first.

Ontario's diagnostic codes are ICD-9-LIKE in shape and share many of its codes, but the set is NOT a subset of ICD-9. Do not derive an OHIP diagnostic code by truncating an ICD-9 code. The range 895-971 is a parallel Ontario space laid over ICD-9 numbers that are already occupied by something unrelated:

code	means, in Ontario	means, in ICD-9
970	Other Acceptable Diagnosis: Prenatal Care	poisoning by CNS stimulants
967	Immunization: Influenza	poisoning by sedative

Measured against the Provincial Health Care Vocabulary Standard, a SNOMED CT -> ICD-9 -> truncate route reaches only 69.4% of cases, and 124 of them land inside 895-971 and come out valid and wrong -- "Poisoning caused by opioid receptor agonist" becomes 970 Prenatal Care, "Pica" becomes 307 Sleep-Wake disorders. Nothing downstream rejects those. They go on a claim, they adjudicate, and the diagnosis on the record is not the diagnosis the clinician made.

A code alone does not even determine a concept within the Ontario set: eighteen codes carry two unrelated meanings (072 is both "Mumps" and "Gait Training").

Map to the Ontario diagnostic set explicitly, from its own concept list. Never compute it from ICD-9.

All codes from this system. 500 of 7,117 are shown below as a sample; this page is not the code system.

Sampled from version 2026-06-02.

Drawn from the 7,117 codes carrying a description. The system holds 7,523 codes in total; 406 have no published description in any of the schedules and are omitted from this sample rather than listed against their own code.

Attribution required by the publisher

Fee codes are reproduced from the Schedule of Benefits, which is incorporated by reference into R.R.O. 1990, Reg. 552 under Ontario's Health Insurance Act. (c) King's Printer for Ontario. THIS IS NOT AN OFFICIAL VERSION: it is a sample, it is not maintained against the Ministry's amendment cycle, and the edition in force at ontario.ca governs.

Code	Display
A001	GP/FP-Minor assessment
A016	Anaesthesia - Repeat consultation
A045	Neurosurgery - Consultation
A071	Complex medical specific re-assessment
A100	Family Practice & Practice in General - General/Family physician emergency department assessment
A134	Internal and Occupational Medicine - Medical specific re-assessment
A164	Nephrology (16)-Medical specific re-assessment
A188	Partial assessment
A206	OB/GYN-Repeat consultation
A239	Ophthalmology - Periodic oculo-visual assessment aged 65 years and above
A261	Paediatrics - Level 1 - Paediatric assessment
A311	Physical Medicine & Rehabilitation - Complex medical specific re-assessment
A343	Radiation Oncology - Medical specific assessment
A411	Gastroenterology - Complex medical specific re-assessment
A460	Infectious Disease - Comprehensive infectious disease consultation
A480	Rheumatology (48)-Complex rheumatology assessment
A575	Respiratory Disease - Limited consultation
A613	Haematology (61)-Medical specific assessment
A636	Repeat consultation
A695	Neurodevelopmental consultation
A765	Cardiology - Consultation, patient 16 years of age and under
A817	Midwife or Aboriginal Midwife-Requested Special Assessment
A911	Family Practice & Practice in General - Special family and general practice consultation
A935	Cardiac Surgery - Special surgical consultation (see General Preamble GP19)
B103	Hosted Video Visit
B962	Travel Premium - Evenings (17:00-24:00) Monday through Friday Non-elective
C003	GP/FP-Non-emergency hospital in-patient services-General assessment
C018	Anaesthesia - Concurrent care
C035	General Surgery - Consultation
C051	Community Medicine - Complex medical specific re-assessment
C068	Orthopaedic Surgery - Concurrent care
C085	Plastic Surgery-Non-emergency hospital in-patient services-Consultation
C102	Travel Premium - Evenings (17:00-24:00) Monday through Friday
C117	Subsequent visit in hospital - sixth to thirteenth week inclusive (Critical Care Medicine)
C136	Internal and Occupational Medicine - Repeat consultation
C159	Endocrinology & Metabolism - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C175	Vascular Surgery - Consultation
C189	Neurology - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C206	OB/GYN-Repeat consultation
C233	Ophthalmology - Specific assessment
C249	Otolaryngology - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C283	Laboratory Medicine - Medical specific assessment
C325	Genetics - Limited consultation
C354	Urology-Specific re-assessment
C412	Gastroenterology - Subsequent visits first five weeks
C445	Medical Oncology - Consultation
C469	Infectious Disease - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C483	Rheumatology (48)-Medical specific assessment
C580	Laboratory Medicine - Comprehensive laboratory medicine consultation – subject to
C609	Cardiology - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C625	Clinical Immunology (62)-Consultation
C649	General Thoracic Surgery - Subsequent visits after thirteenth week (maximum 6 per patient per month)
C722	Occupational Medicine - Complex medical specific re-assessment first five weeks
C775	Geriatrics - Comprehensive geriatric consultation - subject to the same
C903	Pre-dental/pre-operative general assessment (maximum of 2 per 12 month period)
C963	Travel Premium - Sat., Sun. & Holidays (07:00-24:00)
C996	Nights (00:00h - 07:00h) - first patient seen
D014	Sternomastoid no reduction
D034	Tarsus open reduction
D061	Sacro-coccygeal open, removal of coccyx
E015	Aneasthsia - consult. w/in 36hrs
E041	Pseudoarthrosis intramedullary nail with distal and proximal locking screws
E061	Distal triceps tendon repair Delayed repair requiring use of tendon graft, to R183 or
E089	Family Practice & Practice in General - adult 65 years of age and older when rendered to a cisgender female or a transgender,
E111	Combined spinal-epidural for labour, to P014C
E130	Iridectomy - surgical - when sole procedure
E144	Removal of intraocular lens
E158	Strabismus procedures - two muscles
E172	Biopsy (anterior)
E187	Intravitreal injection of medication for the treatment of wet
E205	Pterygium with partial keratectomy
E221	Laceration of eyelid including levator palpebrae superioris with
E235	Cantholysis - when primary procedure
E312	Exostosis with multiple removal with necessary grafting
E326	Facial nerve grafting (to include decompression)
E341	Intra-cochlear
E371	All levels fusion to occiput, to E384
E387	will be reduced to E366 if claimed with N528.] fusion to sacrum, to N511, N512, N575, N576, N560 or
E404	AGMPs Outside of Hospital
E424	Ophthalmology - is limited to a maximum of two services per 12 month period per patient per physician assessment of paediatric patient with amblyopia, to A233
E451	Stage I J315 plus 12 lead E.C.G. done at rest, used for monitoring during
E488	Repair of labrum, to R686
E503	Flexor tenolysis with pulley preservation each additional
E517	Partial mastectomy or wedge resection for treatment of breast with immediate postmastectomy superficial chest wall
E533	Deformit.harring.instrum./sacrum
E547	FIXATION methyl methacrylate (not arthroplasty)
E562	Reappli.halo tract/counter tract
E576	Finger each additional
E590	is not eligible for payment with E826 rigid external fixation - pseudoarthrosis
E604	Ligation of thoracic duct - as sole procedure for fixation of each additional rib exceeding four ribs. add
E620	RESPIRATORY SURGICAL PROCEDURES with wedge bronchoplasty
E634	is only eligible for payment when rendered for the treatment of a condition identified by with selective endobronchial blocker or catheter
E648	Aneurysm of sinus of Valsalva excision of extensive endocardial scar, to ventriculotomy or
E662	Endoscopic retrograde cholangiopancreatography (ERCP) with intraductal cytology brushing or intraductal biopsy
E676	is eligible for payment once per patient per physician in addition to the amount eligible for
E691	Abdomen, Peritoneum and Omentum-Repair-Omphalocele and gastroschisis-requiring mobilization of abdominal wall musculature, to S348 add
E707	Gastrostomy when done with another intra-abdominal procedure
E721	Pyloroplasty or gastroenterostomy plus vagotomy and with choledochotomy
E735	Laparotomy, with or without biopsy or for Hirschsprung’s with splenectomy (partial or complete)
E750	Cystotomy with trochar and cannula and insertion of tube when done in conjunction with another procedure
E765	with reconstruction or repair of the hepatic artery (i.e. re-anastomosis or conduit), to liver transplant fee - add
E780	Diagnostic and Therapeutic Procedures with needle biopsy of prostate
E794	Cholecystectomy with intra-operative cholangiogram, to S287
E810	Proctectomy and Anterior Resection with coloanal anastomosis, to S213
E824	Diagnostic and Therapeutic Procedures with bladder biopsy - general anaesthetic
E839	Turbinate reduction - unilateral or bilateral (by any method) with flexible endoscope, to Z304
E853	Ovarian debulking, for ovarian carcinoma of stage 2C, 3B, 3C, with resection of diaphragm including reconstruction, to
E875	Head with magnetic resonance spectroscopy, to X421
E892	DEFECT(S) harvesting of pedicled vascular flap(s) greater than 3cm in
E906	NEUROLOGICAL SURGICAL PROCEDURES to basic fee for neurolysis, nerve tumour excision, nerve
E920	Intraoperative monitoring
E934	Zygomatic fracture dislocation with primary bone graft (separate site)
E949	Cryopexy - extraocular or sub-conjunctival - one eye for adjustable suture
E963	LeFort I intrusion in two segments
E977	Canthotomy if excision is performed in hospital for tumour free margin
F004	Flexor tenolysis with pulley preservation no reduction, rigid immobilization
F019	Scaphoid open reduction
F033	Elbow and Forearm-Reduction-Fractures-Radius or ulna-Open reduction
F047	Sternomastoid no reduction
F061	Metatarsus one or more
F078	Lengthening with circular external fixation (greater than 6 cm) 6 no reduction, rigid immobilization
F098	Femoral neck trochanteric, subtrochanteric closed reduction/traction
F120	Fract.scapula-close reduct.w/ana
F150	Zygomatic fracture dislocation closed reduction and dental wiring
G014	Laboratory Medicine-Miscellaneous-Rapid streptococcal test
G028	Cervicovaginal mucous specimen for cellular analysis for
G043	Drugs of abuse screen, urine, must include testing for at
G085	Acute, repeat - for the first 3 services initial and acute (for the first 3 services)
G109	Posturography-professional comp.
G140	Upper or lower limbs technical component
G154	Cortical evoked audiometry, professional component
G192	Video fluoroscopic multichannel urodynamic assessment to
G206	Insect venom desensitisation (immunotherapy) - per injection maximum of 90 per patient, per year
G221	Intercostal nerve for each additional one
G235	Supraorbital
G249	Electrophysiologic measurements
G263	Cardiovascular-Angiography-Selective coronary catheterization-With other drug interventional studies add
G279	Percutaneous nerve block catheter insertion
G293	Exercise studies during cardiac catheterization
G308	Pacemaker pulse wave analysis including electrocardiography technical component
G322	Nasogastric intubation under general anaesthesia
G336	Creation of A.V. fistula revision
G351	Measurement of thermic effect of feeding oesophageal pH study for reflux, with installation of acid,
G365	Gynaecology-Papanicolaou Smear-Periodic
G379	Child, adolescent or adult
G394	Collection of additional cervical cancer screening specimen(s)
G410	Amytal test (Wada)-bilateral - supervision and co-ordination of
G424	Contact lens fitting includes follow-up for 3 months except for patients under 4
G438	Colour vision detailed assessment professional component
G452	Electrogustometry or conventional taste tests
G467	Misc. therapeutic procedures
G481	Laboratory Medicine-Miscellaneous-Haemoglobin screen and/or haematocrit (any method or instrument)
G495	Glucagon test (Type B) for hypertension, pheochromocytoma and
G509	Bypass graft angiogram maximum one per bypass graft
G524	Multi-focal electro-retinography - professional component
G538	Immunization-Other immunizing agents not listed above
G552	Removal of intrauterine contraceptive device
G571	Complete Study - 1 and 2 dimensions professional component
G590	Immunization-Influenza agent
G649	Level 1 professional component - 14 or more days recording
G671	Sleep studies-level 1-prof. (p1)
G686	Level 2 technical component - 36 to 59 hours recording
G800	Physician in constant attendance first ¼ hour
G818	OCT unilateral or bilateral - retinal disease, when the physician
G849	Respiratory Syncytial Virus (RSV)
G864	Home peritoneal dialysis
G880	Botulinum toxin injection(s) - with ultrasound guidance (when required to determine the injection site), for two or more injections, to G870, G873, G874 or G876 - add
H002	Family Practice & Practice in General - Newborn care in hospital and/or home initial visit (per baby)
H121	GP/FP-Nights (00:00h to 08:00h)-Minor assessment
H263	Paediatrics - Newborn care in hospital or home thereafter
H407	16:00h – 20:00h
J002	Arthrogram, tenogram or bursogram unilateral
J018	Sialogram
J033	Splenoportogram
J047	Trans-lumbar aortogram each additional vessel catheterized and occluded per
J061	Percutaneous cecostomy
J122	Brain complete, B-mode
J163	and J161 rendered in conjunction with J165 are insured services payable at nil limited study – for other than pregnancy
J190	VASCULAR SYSTEM doppler scan or B scan, includes frequency/spectral analysis, if
J204	Transcutaneous tissue when done in addition to Doppler studies
J313	Mixed venous PCO2, by the rebreathing method
J332	Pulmonary Function Studies-Oxygen saturation-By oximetry at rest and exercise, or during sleep with or without O2
J425	Chest masses, pleural effusion - A & B-mode
J468	nuchal translucency for Prenatal Genetic Screening (maximum one per pregnancy)
J495	Transcranial doppler assessment of intracranial circulation frequency analysis with Doppler scan, unilateral
J604	First Transit without blood pool images
J619	body area, to J852, J652, maximum 3 images per where each SPECT image represents a different organ or
J635	Dynamic renal imaging includes first transit
J653	Gallium scintigraphy single survey
J668	Adrenal scintigraphy with iodocholesterol and dexamethasone suppression
J682	Red cell survival with serial surface counts single site
J701	Thyroid cancer
J715	PET – Cardiology, excluding myocardial perfusion
J816	Nuclear Medicine-IN VIVO-Endocrine system-Adrenal scintigraphy-With iodocholesterol
J832	Nuclear Medicine-IN VIVO-Gastrointestinal system-Abdominal scintigraphy for gastrointestinal bleed-Liver/spleen scintigraphy
J850	Nuclear Medicine-IN VIVO-Musculoskeletal system-Bone scintigraphy-General survey
J864	Nuclear Medicine-IN VIVO-Miscellaneous-Tear duct scintigraphy
J879	Oesophageal motility studies – one or more LeVeen shunt patency
J894	Maintenance of wakefulness test
K006	Hypnotherapy-individual-per ½ hour or major part thereof
K022	HIV primary care-primary care of patients infected with hiv-time-based all-inclusive visit fee per patient per day-per unit (½ hour or major part thereof)
K037	Fibromyalgia/chronic fatigue syndrome care-Fibromyalgia/chronic fatigue syndrome care
K055	Application for Special Diet Allowance
K081	Intermediate assessment of a patient by telephone or video, or advice or information by telephone or video to a patient’s representative regarding health maintenance, diagnosis, treatment and/or prognosis, if the service lasts a minimum of 10 minutes; or b. psychotherapy, psychiatric or primary mental health care, counselling or interview conducted by telephone or video, if the service lasts a minimum of 10 minutes
K102	Detention for the Transport of Donor Organs - Per quarter hour or part thereof
K141	Chronic disease shared appointment-per patient-maximum 8 units per patient per day-3 patients-per unit
K196	Psychiatry-family psychiatric care, out-patient, per ½ hour or major part thereof
K210	Psychiatry (19)-Group psychotherapy, in-patients-per member-first 12 units per day-2 people…per unit
K481	Rheumatology-Rheumatoid arthritis
K704	Family Practice & Practice in General - Paediatric out-patient case conference
K735	Family Practice & Practice in General - Physician to physician telephone consultation - Consultant
K990	Daytime (07:00h -17:00h) Monday to Friday - first patient seen
L006	Alcohol, ethyl – quantitative
L031	Bilirubin, conjugated
L055	Cholesterol, total
L074	Diazepam, quantitative (Valium, Vivol)
L098	Fat (microscopic) – U
L116	Gold
L147	Lactate dehydrogenase fractionation
L171	Methemalbumin
L191	Phosphatase, alkaline (ALP)
L212	Procainamide
L251	Urea nitrogen (BUN)
L305	Androstenedione
L322	Anti-DNA
L340	Testosterone
L373	Antithrombin III assay
L405	Fibrin split products, quantitative
L431	Kleihauer stain
L455	Special stains for acute leukemia
L501	Titre - serial tube single antigen
L554	Miscellaneous proteins - Transferrin
L582	Antibody screening (per panel of 15 antigens)
L609	Thyroglobulin
L636	Streptococcus grouping, Lancefield or equivalent with extractions
L653	9, 25
L675	8, 23
L699	Human Papillomavirus (HPV) Variant
L714	Smear for inclusion bodies
L730	Morphometry, e.g., muscle fibre, nerve fascicles, cells
L808	Imprint, touch preparation and/or direct smear
L826	Laboratory Medicine-Haematopathology-Blood film interpretation (special stain)
L840	Diag exam multiple
L865	SURGICAL PATHOLOGY, LEVEL 5
M021	Puncture and insertion of tube for choanal atresia - unilateral
M058	Radical frontal sinusectomy for tumour, radical exenteration of
M085	Arytenoidectomy or arytenoidopexy or lateralization procedure 6
M112	Ligation of thoracic duct - as sole procedure Sternal debridement and rewiring with or without special
M151	Bullectomy for major bullous disease
N111	Transsphenoidal microscopic resection of lesion(s) originating
N125	Vertebrobasilar circulation, including aneurysm of vein of
N150	C.S.F. leak - intracranial repair
N164	Skull tumour, excision one surgeon
N190	Exploration and/or decompression and/or neurolysis of ulnar
N207	Skull tumour, excision multiple sutures
N259	Cranial-V-Decompression or rhizotomy (partial or complete) trigeminal nerve
N291	Nerve transfer - major – (mixed sensory and motor nerve, or pure motor nerve)
N323	Laminectomy-re-open-post-operat.
N341	Medullary spinal trigem. tracto.
N513	One disc level - below C2
N527	Percutaneous cordotomy or tractotomy
N542	Sympathectomy - unilateral cervical
N556	First site
N570	Vertebroplasty (injection of bone cement) as sole procedure,
P001	Medical management of non-viable fetus or intra-uterine fetal
P018	Caesarean section
P041	Caesarean section including tubal interruption
P060	Percutaneous amnioinfusion
Q020	Bipolar tracking code
Q057	HCC greater than 90 days NOT complex vulnerable
Q113	Mammography 70%
Q133	Colorectal Screening Tracking Code
Q400	Home Care supervision fee
Q510	attendance at consultation with chiropractor
Q555	Mainpro C 1/4 hour
Q612	NP-Low Birth Weight Baby Care-Subs Visit
Q630	NP-Referral to Specialist (Phys spec as cons.)
Q688	NP-Immunization of Unspecified Agent-with visit
Q714	NP-Ear Syringing and/or Extensice Curetting
R004	SKIN FLAPS Defect more than 10 cm such as thoracic abdominal flap.. 6
R019	Curettage, electrodesiccation or cryosurgery two lesions
R034	Congenital dermoid cyst adult
R048	Simple excision single lesion
R068	Preparation of microvascular recipient site for innervated free
R083	Major - over 5 cm
R097	Plastic planning-whole face
R113	Nipple-areola preser./tiss.-bank
R128	Elevation of free island muscle flap with tendon and nerve, and
R142	Nipple-areola tattooing - unilateral
R156	Breast mound creation by insertion of tissue expander,
R191	Synovial biopsy
R206	Abrasion arthroplasty
R220	Bone
R234	Sequestrectomy-anterior
R248	Total knee replacement with take down of fusion
R263	Hip
R278	Maxilla, with exenteration of orbit and skin graft
R292	Head
R307	Calcaneal spur
R321	Phalanx, metacarpal
R336	Revis. of entire instr.-w/o fus.
R350	Deformities-anter.via chest/abdm
R364	Pelvis
R382	Anterior dento-alveolar osteotomy, maxilla or mandible one segment
R397	Anterior decompress. w/ instrum.
R411	Shoulder
R425	Bone tumour (see General Preamble GP12) finger joint
R439	Unipolar
R454	Metatarsophalyngeal (Swansons, etc.) multiple
R468	Knee
R482	Patellar arthroplasty single component (e.g. MacIntosh)
R496	Removal of hemiarthroplasty - without replacement
R511	Mandibular or maxillary visor osteotomy for alveolar
R525	Complex repair, digit, zone 1 repair, without soft tissue loss, Simple muscle repair(s) to include repair of involved skin . 6
R540	Steindler flexoplasty open reduction - recurrent
R554	Reconstruction of flexor tendon pulley, per finger one
R568	Trapezius/sternomastoid transplant
R583	Steindler flexoplasty
R597	Simple/single repair - wrist
R613	Through radius and ulna
R627	Slipped epiphysis open reduction/fixation
R642	Slipped epiphysis closed reduction/internal fixation
R656	LeFort III and subcranial hypertelorism correction*
R670	Eyelid up to 50%
R684	Shoulder arthroscopy setup, includes when rendered
R699	Knee arthroscopy set-up, non-degenerative disorders of the
R713	Cardiotomy with removal of foreign body
R727	Valves-Tricuspid annuloplasty
R741	Coronary artery endarterectomy and/or gas endarterectomy.. 18
R756	Resection coarctation child
R771	Vascular ring
R787	Arteries-Femoro-Anterior/posterial tibial/peroneal bypass graft-With saphenous vein
R802	Arteries-Abdominal aorta-Repair or excision with graft-Aneurysm repair alone or including unilateral common femoral repair
R816	Abdominal aorta-aneur.unilateral
R831	is not eligible for payment with R792 subclavian
R845	Revision of above (see General Preamble GP12) multiple ligation and skin graft - per leg
R859	Partial removal of infected aortic graft (one limb only)*
R874	Heart and Pericardium-Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect-Cardiopulmonary transplantation
R890	Two Surgeon ascending aorta – first surgeon
R913	Ileoinguinal, radical resection radical resection, unilateral
R930	Aortic valvoloplasty
R950	Radius and ulna - circular external fixation
R966	Bone transport - circular external fixation (greater than 6 cm) 6
R990	Code listed in the Numeric Index — definition not located in the standard fee section
S019	Glossectomy-complete
S044	Submandibular gland or sublingual gland total (without preservation of facial nerve)
S067	Partial pharyngectomy - transthyroid or lateral
S088	Cricopharyngeal diverticulum
S104	Oesophagus-Suture-Repair of esophageal atresia with or without tracheal fistula
S128	Wedge resection for ulcer with or without splenectomy
S154	Large intestine - including excision of polyps
S170	Intestines (except rectum) Ileostomy-Plus total colectomy plus abdomino-perineal resection
S184	Suture of intestine
S202	Bowel lengthening procedure in a paediatric patient recipient
S217	Rectum-Excision-Two surgeon team-Hartmann procedure
S242	Sphincterotomy-w/excision/fiss.
S265	Living donor, hepatectomy
S281	Choledochoduodenostomy or choledochoenterostomy or
S302	Donor pancreas removal
S318	Panniculectomy, including any necessary diastasis repair
S334	Omphalocoele/gastroch.-1 stg-rep
S349	Abdomen, Peritoneum and Omentum-Repair-Omphalocele and gastroschisis-Second or subsequent stage repair
S411	Kidney and Upper Urinary Tract-Excision-Partial or heminephrectomy
S430	Removal of staghorn calculus filling renal pelvis and calyces -
S446	With removal of calculus lower 1/3
S460	UROGENITAL AND URINARY SURGICAL PROCEDURES unilateral
S480	Cystotomy with trochar and cannula and insertion of tube
S519	Cystoplasty, using intestine adolescent or adult
S538	Biopsy of urethra (without endoscopy) repeat procedure within 6 months by same surgeon
S552	Endoscopic urethral realignment for urethral trauma immediate repair
S566	Revision including removal of prosthesis
S581	Penis-Repair-Hypospadias or Epispadia-Closure urethro-Cutaneous fistula
S611	Epididymis and Tunica Vaginalis-Tunica Vaginalis-Hydrocele excision-Unilateral
S646	Perineal with vesiculectomy
S703	Cyst of Bartholin’s gland simple
S718	Anterior or posterior repair repair of enterocoele and/or vault prolapse
S733	One surgeon abdominal surgeon
S749	One surgeon vaginal surgeon
S763	Myomectomy radical (Wertheim or Schauta) - includes node dissection . 8
S777	Staging Para-aortic lymphadenectomy for carcinoma uterine inversion, operative
S791	Excision of solitary nodule
S900	Basic units for anaesthesia with any unlisted dental surgical
T043	LeFort I In Cleft Patient with bone graft add
T122	Maxillomandibular fixation application of arch bar(s), and/or splint(s) and/or wiring of dentures – two add
T225	Injection into joint – therapeutic drug
T265	Bone tibia —-
T331	Excision of vestibular hyperplastic tissue, per quadrant
T346	Partial arch lowering of floor of mouth
T364	Nasal reconstruction not for cosmetic purposes —- stabilzation with plating or crib – per side add
T385	Total maxillectomy bilateral —-
T403	Incision and drainage of soft tissue – extraoral
T420	Extraskeletal suspension (e.g. Head Frame)
T436	Removal of extraskeletal suspension —-
T456	*Excision, subtotal, parotid gland
T489	Transcutaneous approach open 782.63
T513	Primary closure at time of initial surgery —- with tongue flap —-
T533	Reconstruction of mandibular condyle with prosthesis or tissue graft
T548	- extraoral
T569	- posterior
T596	Condylectomy or condyloplasty
T613	Transposition of mental nerve
T633	Primary repair
T653	Examination under general anesthesia (sole procedure)
T670	Mandible - intraoral unilateral add
T684	Cranium unilateral add
T708	- with simultaneous endodontia. add
T761	Insertion of polyethylene tube in duct
T905	Removal of each impacted tooth, partial bony impaction 139.05
U023	Dermatology - Repeat e-assessment
U992	Emergency call with sacrifice of office hours - first patient seen
V410	Automated Visual Field Assessment
V859	Video visit – ODSP/OW recipient
W032	General Surgery - Repeat consultation first 4 subsequent visits per patient per month
W058	Nursing home or institution - additional subsequent visits (maximum 3 per patient per month) - per visit
W085	Plastic Surgery-Non-emergency LTC in-patient Services-Consultation
W132	Internal and Occupational Medicine - Chronic care or convalescent hospital first 4 subsequent visits per patient per month
W162	Nephrology - Chronic care or convalescent hospital first 4 subsequent visits per patient per month
W182	Neurology - Chronic care or convalescent hospital first 4 subsequent visits per patient per month
W225	Consultation
W260	Paediatrics - Special paediatric consultation - subject to the same
W299	Infectious Disease - Periodic health visit
W375	Geriatrics - Limited consultation
W443	Medical Oncology - Nursing home or home for the aged first 2 subsequent visits per patient per month
W511	Physical Medicine and Rehabilitation-Non-emergency LTC in-patient Service-Complex physiatry assessment
W667	Paediatrics-Neurodevelopmental consultation
W844	Medical Oncology - Repeat consultation Type 2
W911	Family Practice & Practice in General - Special family and general practice consultation - subject to
W993	Additional Person(s) Seen - Weekdays Daytime (07:00-17:00) with Sacrifice of Office Hours
X010	Temporomandibular joints – four views including open and closed mouth bilateral – six views
X034	Sacrum and/or coccyx two views
X052	Forearm including one joint two views
X069	Foot two or three views
X108	Oesophagus when X103, X104, X108 or X109 not claimed including survey film, if taken
X125	Thorax with and without IV contrast
X139	Percutaneous nephrostogram
X153	Second test - low risk patient two or more sites
X168	CT guidance of biopsy
X182	Using film changer, cine or multiformat camera selective (per vessel, to a maximum of 4)
X196	Skeleton
X210	Clavicle three or more views
X225	Knee including patella five or more views
X304	Minor teleradiotherapy - x-ray, 150 KVP or less - amount
X329	Metastatic disease of bone
X404	Neck with IV contrast
X425	Head - repeat (to a maximum of 2 repeats)
X465	Pelvis - repeat (to a maximum of 3 repeats)
X494	Mri-intermediate spine-multislice i.r.
Y613	Myocardial wall motion studies with ejection fraction
Y630	Oesophageal motility studies - one or more Tc99m sulphur colloid or Tc04
Y649	Red cell survival with serial surface counts
Y664	Tear duct scintigraphy
Y679	Oesophageal motility studies - one or more LeVeen shunt patency
Y808	Myocardial Perfusion Scintigraphy delayed
Y826	Calcium absorption Ca45
Y841	Nuclear Medicine-IN VIVO-Hematopoietic system-Plasma volume
Y859	Nuclear Medicine-IN VIVO-Perfusion lung scintigraphy
Y875	Calcium absorption Calcium47 absorption/excretion
Y902	Brain scintigraphy - cerebral perfusion
Z105	Abscess or haematoma - General anaesthetic perianal
Z119	Cryotherapy treatment of at least 5 pre-malignant actinic
Z135	Open capsulotomy with or without replacement of breast
Z151	Other areas - General anaesthetic three or more lesions
Z169	Congenital (extensive) (see General Preamble GP12) single lesion
Z188	Complex laceration repair, anatomical area other than face,
Z204	Casts - Removal of plaster (not associated with fractures or dislocations within 2 weeks of initial treatment)
Z218	Diagnostic arthroscopy (sole procedure)
Z233	Muscle release open adductors
Z247	Flexor tenolysis with pulley preservation one
Z261	Frontal unilateral
Z281	Removal of extensive external fixation device under general with general anaesthetic
Z306	Excision of middle turbinate concha bullosa - unilateral
Z322	Direct with removal of foreign body
Z336	Biopsy of pleura, needle - including diagnostic aspiration
Z350	Endoscopic sphenoidotomy - unilateral
Z399	Oesophagoscopy, with or without biopsy(ies) elective
Z414	Injection of pericardial sclerosing agents
Z434	Cardiovascular-Angiography-Transluminal coronary angioplasty-one or more sites on a single major vessel
Z448	claimed same patient same day as G298 is payable at nil aortic valve, pulmonic valve, pulmonary branch stenosis
Z462	Insertion of norplant
Z497	Confirmatory colonoscopy - sigmoid to descending colon
Z513	Hydrostatic - Pneumatic dilatation of colon stricture(s) through
Z528	subsequent (within three months following previous gastroscopy)
Z543	Anoscopy (proctoscopy)
Z558	Endoscopic retrograde cholangiopancreatography (ERCP) including sphincterotomy and may include removal of one or
Z572	Electrocoag.rectal carcinoma-int
Z586	Repair of incompetent cervix - not associated with pregnancy 6 with lysis of intrauterine adhesions/synechiae requiring a
Z603	Catheterization home
Z619	Transurethral incision or resection of external sphincter - when male, general anaesthetic
Z634	is not eligible for payment with Z602, Z603 or Z611 multiple tumours
Z708	Epididymis and Tunica Vaginalis-Tunica Vaginalis-Hydrocele aspiration
Z722	Incision and drainage of cyst, abscess or haematoma local anaesthetic
Z736	Cyst of Bartholin’s gland local anaesthetic
Z751	Repositioning of intra-aortic balloon pump open
Z765	Total excision of very large sessile polyp (> 3 cm) through cm or greater
Z779	Chorionic villus sampling
Z805	Neurology-Lumbar puncture-With instillation of medication or other therapeutic agent
Z820	Intracranial Abscess-Ventriculoscopy-Insertion of intracranial catheter or transducer for purposes of monitoring
Z852	Removal embedded foreign body general anaesthetic
Z868	Biopsy - bone needle
Z909	Biopsy, ear canal

End of sample. 500 of 7,117 codes are listed above; the remaining 6,617 are not shown. This page is a sample of the code system, not the code system -- obtain the full set from its publisher.