What is OHIP billing code M156?

M156 is "Repeat lung transplant (one lung)", an OHIP Respiratory Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does M156 pay?

The current OHIP fee for M156 is $2670.55, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill M156 to OHIP?

M156 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates M156 claims against the Schedule of Benefits rules before submission.

What codes are related to M156?

Codes related to M156 in the Schedule of Benefits include M155, M157.

All codes

M156

M156 – Repeat lung transplant (one lung)

OHIP Respiratory Surgical Procedures Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

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Repeat surgical implantation of one lung. The service includes all specific elements of a surgical procedure as defined in the -, including pre-operative care (visits 1-2 days prior to surgery), the operation itself, and post-operative care for up to two weeks. The surgical benefit includes generally accepted components and repair of iatrogenic complications. A major pre-operative visit (consultation or assessment) is claimable separately.

M155 M157

Claims Submission for Transplant Surgery: For a transplant donor, submit claims using the donor's OHIP number. If the donor is from out-of-province/country, or the Ontario donor's number is unavailable, use the recipient's Ontario health insurance number. For the transplant recipient, submit claims using the recipient's health insurance number. (See ).

Surgical Assistant (B Suffix): The fee is calculated based on 24 basic units plus time units. See - for unit calculation rules. After-hours premiums E409 (50%) and E410 (75%), and special visit premiums may apply.

Anaesthetist (C Suffix): The fee is calculated based on 40 basic units plus time units. See - for unit calculation rules. After-hours premiums E409 (50%) and E410 (75%), special visit premiums, and extra units for patient complexity (e.g., age, weight, ASA status) may apply (see ).

Second Assistant: A second assistant's service requires authorization by a medical consultant as M156 is not on the pre-approved list. (See ).

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