Procedural Add-ons & Premiums — OHIP Billing Codes

All 771 Procedural Add-ons & Premiums codes (E codes)

Complete alphabetical list of OHIP E-prefix billing codes from the Ontario Schedule of Benefits.

• E001Second Anaesthesiologist
• E001CSecond anaesthesiologist service
• E002Hypothermia premium (anaesthesia)
• E002CAnaesthesia for procedures using hypothermia
• E003Supportive care/Monitoring
• E003BSupportive Care/monitoring by Surgical Assistant
• E003CSupportive Care/monitoring by Anaesthesiologist
• E005Replacement surgical assistant or anaesthesiologist
• E005BReplacement surgical assistant service
• E005CReplacement anaesthesiologist
• E006ACancelled surgery - surgical services
• E006BCancelled Surgery - Assistant Service
• E006CCancelled Surgery - Anaesthesia Services
• E007Adult aged from 70 to 79 years, inclusive
• E007CAnaesthetic extra units - adult aged 70 to 79
• E009Infant from 29 days to 1 year of age
• E009CAnaesthesia extra unit - infant 29 days to 1 year
• E010Patient with body mass index (BMI) > 40
• E010CAnaesthesia extra units - BMI > 40
• E011Patient in prone position during surgery - anaesthesia premium
• E011CAnaesthesia for patient in prone position
• E012Malignant hyperthermia premium
• E012CMalignant hyperthermia susceptibility management
• E013Emergency relief of acute upper airway obstruction - anaesthesia
• E013CAnaesthetic management for emergency relief of acute upper airway obstruction
• E014Newborn to 28 days (Anaesthesia Extra Units)
• E014CAnaesthetic extra units for newborn to 28 days
• E016ASA V – moribund patient not expected to live 24 hours with or without operation
• E016CASA V – moribund patient
• E017ASA IV – patient with incapacitating systemic disease that is a constant threat to life
• E017CASA IV – patient with incapacitating systemic disease that is a constant threat to life
• E018Anaesthesia premium - adult aged 80 years and older
• E018CAnaesthesia extra units for adult aged 80 years and older
• E019Infant or child from 1 year to 8 years of age inclusive
• E019CAnaesthesia extra units for infant or child from 1 year to 8 years of age
• E020ASA E - Emergency Anaesthesia Premium
• E020CASA E emergency surgery modifier
• E021Anaesthesia premium for premature newborn < 37 weeks gestational age
• E021CPremature newborn less than 37 weeks gestational age
• E022ASA III - patient with severe systemic disease limiting activity but not incapacitating
• E022CASA III - patient with severe systemic disease limiting activity but not incapacitating
• E023Anaesthesia service for specific ocular, EUA, and cystoscopy procedures.
• E023CAnaesthesia service
• E024Patient in sitting position during surgery, > 60 degrees upright
• E024CAnaesthesia for patient in sitting position (>60 degrees)
• E025Unanticipated massive transfusion premium
• E025CUnanticipated massive transfusion
• E030Procedural sedation
• E030CProcedural sedation
• E031General anaesthesia or deep sedation for nerve block procedures
• E031CGeneral anaesthesia or deep sedation
• E032Anaesthesia service for colonoscopy and sigmoidoscopy
• E032CAnaesthesia service for colonoscopy and sigmoidoscopy
• E041Intramedullary nail with distal and proximal locking screws - tibia
• E048Intramedullary nail with distal and proximal locking screws - femur
• E049Tendon or muscle transfer - each additional
• E050Tenoplasty - each additional
• E051Silicone rod insertion - each additional
• E052Tendon graft - each additional
• E053Tendon transfer foot and ankle - each additional
• E054Transplant/transfer - each additional
• E055Tendon transfer foot and ankle - each additional
• E056Transposition/transplantation/transfer - each additional
• E057Revision/repair following previous rotator cuff surgery
• E058Glenohumeral joint - revision/repair following previous glenohumeral joint surgery
• E059Revision/repair following previous reconstruction of knee ligaments
• E060Post renal transplant assessment premium
• E061Delayed repair requiring use of tendon graft
• E062Glenohumeral joint - coracoid transfer (Latarjet) or bone block graft to glenoid
• E063Radius - distal - open reduction of AO/OTA Group C complete intra-articular distal radial fracture requiring dorsal and volar internal fixation
• E064Radius - distal - Open reduction of distal 1/3 ulnar fracture and/or repair of DRUJ dislocation
• E069Preparation of a contracted recipient site
• E077Identification of patient for a major eye examination
• E078Chronic disease assessment premium
• E079Initial discussion with patient re: smoking cessation
• E080First visit after hospital discharge premium
• E082Admission assessment by the MRP
• E083Subsequent visit by the MRP premium
• E084Saturday, Sunday or Holiday subsequent visit by the MRP
• E088Congestive heart failure premium
• E089Periodic health visit premium
• E090Removal of contralateral ovary with moderate or severe endometriosis
• E098Gastroenterology chronic disease assessment premium
• E100Attendance at delivery (Anaesthesia)
• E100CAttendance at delivery
• E101Surgical Assistant Standby
• E101BSurgical assistant standby
• E102Enucleation, with or without primary implant
• E103Evisceration, with or without primary implant
• E104Removal of intraocular foreign body
• E105Non-magnetic removal of posterior segment foreign body
• E106Penetrating wound with prolapse of intraocular tissue
• E107Penetrating wound - without prolapse of intraocular tissue
• E108Enucleation, donor eye, post-mortem
• E109Enucleation/evisceration with insertion of implant and reattachment of extraocular muscles
• E110Cataract extraction with glaucoma procedure
• E112Pneumatic Retinopexy
• E114Plate and tube glaucoma drainage procedure
• E115Minimally invasive glaucoma surgery or minimally invasive bleb surgery
• E117Keratectomy or relaxing incisions post penetrating keratoplasty or post traumatic corneal scar (non cosmetic)
• E118Excision of dermoid - with partial keratectomy
• E119Excision of dermoid - with lamellar graft
• E121Corneal transplant - penetrating
• E122Corneal transplant - lamellar
• E123Division of iris to cornea and/or angle
• E124Limbal stem cell transplant
• E125Laser retinopexy for Retinopathy of Prematurity or retinoblastoma
• E126Laser retinopexy for Retinopathy of Prematurity or retinoblastoma – both eyes
• E127Sclerotomy, posterior
• E128Anterior chamber - open evacuation of clot
• E130Iridectomy - surgical
• E131Laser iridotomy
• E132Glaucoma filtering procedures ab externo
• E133Extraocular glaucoma procedures
• E134Laser angle surgery or trans-scleral or endoscopic cyclophotocoagulation of the ciliary body
• E135Ciliary body re-attachment
• E136Glaucoma Filtering Procedure Add-on for Intraocular Seton Implant
• E137Needling (Discission) - Primary or Subsequent.
• E138Scleral fixation of artificial intraocular lens and/or sutured capsular tension device
• E139Capsulotomy or primary or subsequent needling
• E140Cataract extraction and artificial intraocular lens insertion
• E141Dislocated lens extraction
• E142Preretinal membrane peeling or segmentation with vitrectomy
• E143Excision of Secondary Membrane with Corneal Section Following Cataract Extraction
• E144Removal of artificial intraocular lens
• E145Repositioning surgical of dislocated intraocular lens
• E146Insertion of artificial intraocular lens for aphakic eye
• E148Vitrectomy, complete and by posterior approach
• E149Vitreous injection or aspiration
• E150CritiCall review of complex neuroimaging
• E151Re-attachment of retina and choroid
• E152Scleral resection or buckling procedure
• E153Revision for retinal detachment
• E154Photocoagulation (xenon, argon laser, etc.) - one eye
• E155Cryopexy - extraocular or sub-conjunctival - one eye
• E156Intraocular suturing of iris/pupillary defect
• E157Placement and/or suturing of iris prosthetic device
• E160Dermis fat graft - immediately following enucleation
• E161Removal of scleral implant
• E163Dermis fat graft - delayed
• E164Drainage of abscess
• E165Lateral orbitotomy (Kronlein)
• E166Tumour or foreign body - anterior route
• E167Orbital tumour or foreign body - posterior exposure
• E168Biopsy (posterior exposure)
• E169Orbital decompression - two or more walls
• E170Decompression - Three Walls
• E171Exenteration
• E172Biopsy (anterior)
• E173Zygomatic fracture dislocation
• E174Orbit - blowout fracture of floor
• E175Therapeutic paracentesis
• E176Fornix reconstruction
• E177Fornix reconstruction with mucous membrane graft
• E178Free mucous membrane graft - full thickness
• E179Free mucous membrane graft - split thickness
• E180Alloplastic volume replacement
• E181Secondary orbital implant
• E182Transposition of extraocular muscle to treat paretic or lost, damaged eye muscle
• E183Superior oblique muscle surgery (per muscle)
• E184Inferior oblique muscle (per muscle)
• E185Horizontal or vertical rectus muscle repair
• E186Intravitreal injection for wet macular degeneration, left eye
• E187Intravitreal injection of medication for the treatment of wet macular degeneration, right eye
• E190Tarsorrhaphy
• E191Double adhesion
• E192Ptosis
• E193Ptosis - repeat or second repair
• E194Distichiasis or trichiasis repair by tarsal transplantation - unilateral
• E195Trichiasis, repair by tarsal transplantation
• E196Entropion, other than Zeigler puncture
• E197Ectropion, other than Zeigler puncture
• E198Laceration, full thickness - including lid margin
• E199Laceration, full thickness
• E200Blepharoplasty - excision of skin, with or without partial excision of the orbicularis oculi muscle - one lid
• E201Blepharoplasty with orbital fat removal or major lid fold reconstruction
• E202Corneal cross-linking
• E205Pterygium - with partial keratectomy
• E206Pterygium - simple (unilateral)
• E207Pterygium - with lamellar graft
• E208Peritomy (Gunderson conjunctival flap)
• E210Excision of conjunctival lesion
• E211Lid lengthening procedure
• E212Bleb repair with conjunctival pull-down
• E213Bleb repair with conjunctival, scleral or mucous membrane graft
• E214Glaucoma filtering procedure and cataract extraction (same eye)
• E215Dacryocystectomy
• E216Lacerated canaliculus - immediate repair
• E217Lacerated canaliculus - delayed repair
• E218Dacryocystorhinostomy
• E219Lacrimal bypass procedure (Lester Jones) - when sole procedure
• E221Laceration of eyelid including levator palpebrae superioris with ptosis
• E222Primary closure of full thickness lid defect
• E223Tarsoconjunctival flap and skin graft (Hughes)
• E224Tarsoconjunctival flap and skin graft (Hughes) - second stage
• E225Lower or upper eyelid bridge flap
• E226Lower or upper eyelid bridge flap - second stage
• E227Temporal rotation flap
• E228Free tarsal, scleral or cartilage graft with local skin mobilization
• E229Free composite eyelid graft
• E230Medial canthoplasty (skin and muscle)
• E231Medial canthal tendon repair only
• E232Medial canthal tendon fixation to bone
• E233Medial canthal tendon fixation - when done in conjunction with another procedure
• E234Canthotomy
• E235Cantholysis - when primary procedure
• E236Lateral canthopexy
• E250Surgical time
• E300Resection of pinna - with primary closure
• E301Resection of pinna - with local flap
• E302Removal of foreign body - requiring post auricular or endaural incisions
• E303Removal of foreign body from middle ear space
• E304Reconstruction of total ear with cartilage graft
• E305Incision and drainage of extensive haematoma of pinna - Limited incision for perichondritis, removal of cartilage and drainage
• E306Radical surgery for perichondritis
• E307External ear congenital defect repair - minor
• E308Congenital defect repair - external major
• E309Exostosis - general anaesthetic
• E310Otoplasty for correction of outstanding ears - unilateral
• E311Endomeatal surgery and removal and drilling out of exostosis
• E312Exostosis - multiple removal with necessary grafting
• E313Exostosis - post auricular approach
• E314Meatoplasty or canalplasty for congenital malformation
• E315Revision mastoidectomy with revision of middle ear
• E316Tympanotomy with fistula repair
• E317Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing - general anaesthetic
• E318Incision and drainage of extensive haematoma of pinna with packing of ear and external compression dressing - local anaesthetic
• E319Atticotomy
• E320Cortical mastoidectomy
• E321Posterior/superior canal occlusion
• E322Modified or radical mastoidectomy
• E323Myringoplasty
• E325Facial nerve decompression
• E326Facial nerve grafting
• E327Closure of mastoid fistula
• E328Tympanotomy
• E329Tympanic neurectomy
• E331Revision stapedectomy
• E332Labyrinthotomy or labyrinthectomy (including Fick procedure)
• E333Ossiculoplasty
• E335Stapedectomy with prosthesis
• E336Type 1 tympanoplasty (myringoplasty with exploration of middle ear)
• E337Tympanoplasty with ossiculoplasty
• E339Endolymphatic shunt or sac decompression
• E341Intra-cochlear
• E345Temporal bone resection
• E346Bone conduction hearing aid implantable, including necessary mastoidectomy
• E360Additional level decompression
• E361Each additional level decompressed including disc excision
• E362Combined thoracotomy/laparotomy
• E363Anterior spinal arthrodesis, cervical, without instrumentation - one disc level
• E364Spinal disc fusion - additional level
• E365Cervical spinal arthrodesis with instrumentation - one disc level
• E366Spinal arthrodesis - additional disc level fused
• E367Thoracic/Lumbar - one disc level
• E368First disc excision
• E369Posterior spinal arthrodesis - one disc level without instrumentation
• E370One disc level spinal arthrodesis
• E371Fusion to occiput
• E372Posterior interbody arthrodesis - one disc level
• E373Repeat decompression
• E374Foramen magnum decompression < 3cm as part of cervical decompression
• E375Repeat fusion premium
• E376Posterior interbody arthrodesis - each additional disc level stabilized
• E377Cervico-thoracic junction fusion
• E3783D stereotactic spinal procedure
• E3792D stereotactic spinal procedure
• E380Laminoplasty - additional level
• E382Spinal duroplasty
• E383Acute spinal cord injury premium
• E384C1/C2 screw fixation
• E385Percutaneous discotomy - each additional level
• E386Extradural decompression - spinal cord or cauda equina - tumour or infection
• E387Spinopelvic fixation with iliac or S2 alar-iliac screws
• E388Vertebroplasty combined with any other procedure, first level
• E389Additional level of scoliosis correction over six levels
• E390Halo fixation/traction
• E391Vertebroplasty, additional level
• E392Kyphoplasty combined with any other procedure, first level
• E393Kyphoplasty - each additional level
• E394Artificial disc insertion - additional level
• E395Open reduction, additional level, spine fracture/dislocation
• E396Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy - each additional site
• E400After Hours Premium - Evenings, Weekends, and Holidays (50%)
• E400BAfter hours premium - Evenings and weekends/holidays
• E400CAfter hours premium - evenings, weekends and holidays
• E401After Hours Premium - Night (00:00h - 07:00h)
• E401BNights surgical assistant premium
• E401CAnaesthesia night premium
• E402After hours premium for continuous catheter infusion for analgesia
• E403Nights (00:00h – 07:00h)
• E406After hours premium - urgent CT/MRI interpretation - evenings
• E407Saturdays, Sundays or Holidays daytime and evenings urgent CT/MRI interpretation
• E408Nights (00:00h – 07:00h)
• E409Evenings (17:00h – 24:00h) Monday to Friday or daytime and evenings on Saturdays, Sundays, Holidays - increase the procedural fee(s) by 50%
• E410Physician - Night procedural premium
• E411Sole delivery premium
• E412Emergency Department Physician - evening premium
• E413Emergency Department Physician - Night premium
• E414High risk obstetrical premium
• E420Trauma premium
• E423Manual cycloplegic refraction
• E424Assessment of paediatric patient with amblyopia
• E430Cervical cancer screening specimen collection outside of hospital or ICHSC
• E431Cervical cancer screening specimen collection (outside hospital or ICHSC)
• E432Pelvic exam including speculum - outside of hospital or ICHSC
• E440Epidural injection with injection of contrast using fluoroscopy
• E441Epidural injection - previous spinal surgery
• E442Epidural injection - transforaminal technique
• E443Epidural or spinal injection - with catheter for continuous infusion
• E444Radiofrequency ablation for celiac, splanchnic or hypogastric ganglion/plexus block
• E445Injection with alcohol or sclerosing solution
• E446Peripheral joint injection using image guidance following a failed blind attempt
• E447Echography - two or more large joints imaged on the same limb
• E448Signs or symptoms - with 3D tomosynthesis
• E450Graded exercise - additional services
• E451Exercise ECG monitoring
• E475Portable ultrasound
• E476Removal of symptomatic loose body(ies) and/or screw
• E477Arthroscopy of subtalar and/or intratarsal joint(s)
• E478Pinning of osteochondral fragment
• E479Arthroscopy of midcarpal and/or distal radio-ulnar joint
• E480Triangular fibrocartilage complex repair
• E481Osteochondroplasty
• E482Soft tissue capsular release for contractures
• E483Synovectomy for inflammatory arthritis
• E484Superior labral anterior posterior (SLAP) repair
• E485Arthroscopic capsular release for frozen shoulder
• E486Mastectomy - with nipple sparing
• E487Resection of labrum
• E488Repair of labrum
• E489Microfracture and/or abrasion arthroplasty
• E490Osteochondroplasty (extensive bone and arthrofibrotic tissue removal requiring a minimum of 2 hours to resect)
• E491Lateral release
• E492Synovectomy - for diseased synovium, anterior, posterior or complete
• E493Drilling of defect
• E494Debridement (degenerative cartilage)
• E495Meniscectomy
• E496Repair of medial or lateral meniscus
• E497Pedicled vascularized bone graft
• E498Debridement (trauma)
• E499Second caesarean delivery
• E500Third and subsequent delivery
• E501Cleft lip - with nasal cartilage realignment
• E502Vaginal birth after caesarean section
• E503Intra-articular - each additional
• E504Metacarpal - each additional
• E505Limited axillary node sampling
• E508Tarso-metatarsal - each additional joint
• E509Two Surgeon - conduit to aorta or common iliac artery
• E510Two Surgeon - for branched or fenestrated devices
• E511Additional midtarsal(s) arthrodesis
• E512Additional midtarsal(s)
• E513Breast mound creation by soft tissue for autogenous reconstruction
• E514Immediate breast reconstruction following mastectomy
• E515Incision of abscess or hematoma - sole procedure under GA in OR
• E516Endocarditis complexity premium
• E517Immediate postmastectomy superficial chest wall reconstruction
• E518Excision of additional polyp (20 mm to 29 mm)
• E519Each additional polyp (10 mm to 19 mm)
• E520Excision of additional polyp (6 mm to 9 mm)
• E521Left atrial appendage occlusion/excision - conjunction with another procedure
• E523Repair of abdominal defect - same surgeon, to other procedure
• E524Mohs micrographic surgery - additional cuts
• E525Localization for breast surgery
• E527Additional expander, same incision
• E528Additional expander, different incision
• E529Breast mound creation by prosthesis, add-on to R118
• E530Inhalation general anaesthesia for suture of laceration
• E531Extensive debridement
• E532Intramedullary nail with distal and proximal locking screws - both tibial plateaus, same knee
• E537Tenolysis - flexor and/or extensor tendon of - each additional digit
• E538Each additional
• E539Osteotomy of malleolus
• E540Malignant melanoma - tumour free margin with frozen section
• E541Percutaneous inflation of additional tissue expander
• E542Outside hospital premium
• E543Use of disposable EMG hypodermic electrode outside hospital
• E544Cast bracing with closed reduction
• E545Vasectomy - when performed outside hospital
• E546Axillary node dissection up to the level of the axillary vein
• E547Methyl methacrylate (not arthroplasty)
• E550Insertion of closed irrigation system
• E551Bone/fascial/dermis grafts - separate incision
• E552Bone/fascial/dermis graft - same incision
• E553Banked bone or bone substitutes
• E554Synovectomy
• E555Rigid external fixation
• E556Extensive debridement of compound fractures or dislocations
• E557Medial transnasal canthopexy - when done in conjunction with another procedure
• E558Phalanx - each additional
• E559Metacarpal - open reduction (each additional)
• E560Phalanx - each additional
• E561Phalanx fracture - each additional
• E564Revision of arthroplasty
• E569Percutaneous pinning
• E571Tendon release (open) - more than one, to wrist
• E575Interphalangeal arthrodesis - each additional
• E576Finger - each additional
• E577Metacarpal/phalangeal - each additional
• E578Ankle - each additional
• E579Metatarsophalangeal - each additional
• E580Tendon repair - extensor - each additional
• E581Flexor tendon repair - each additional
• E582Penicillin minor determinant mixture testing
• E583Amputation of phalanx, metacarpal or metacarpophalangeal joint - additional
• E584Application of plaster cast outside hospital or ICHSC
• E585Amputation - each additional
• E586Amputation with immediate fitting
• E587Bone excision - each additional
• E588Mandibular osteotomies for retrognathia - for apertognathia or laterognathia
• E589Revision total arthroplasty hip - bone graft to acetabulum
• E590Rigid external fixation - pseudoarthrosis
• E591Osteotomy - phalanx - each additional
• E592Tendon release (open) - more than one, to R536
• E593Acetabular reconstruction (extensive, including bone grafts)
• E594Hammer toe - additional
• E596Osteotomy - each additional
• E597Composite repair for facial paralysis - with meloplasty
• E598Patellar replacement or patelloplasty with knee arthroplasty
• E599Tenolysis - each additional
• E600Laryngoscopy using operating microscope
• E601Chest wall reconstruction - additional rib resection
• E602Sternal resection
• E603Fluorescein injection for cerebrospinal rhinorrhea
• E604AFixation of Each Additional Rib Exceeding Four Ribs - Surgeon
• E604BFixation of Each Additional Rib Exceeding Four Ribs - Assistant
• E604CFixation of Each Additional Rib Exceeding Four Ribs - Anaesthesia
• E605Excision of mediastinal tumour or cyst
• E607Re-operation more than 30 days subsequent to previous excision
• E608Each additional wedge resection of lung (to a maximum of 3)
• E609Closure of broncho-pleural fistula - with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad
• E610Closure of broncho-pleural fistula with myovascular flap
• E611Resection of diaphragm and direct suture closure
• E612Total extra-pleural pneumonectomy
• E613Sleeve pneumonectomy
• E614Omental graft
• E615Intra-pericardial dissection
• E616Bi-lobectomy on right side, or segmentectomy plus lobectomy (same side)
• E617Pleural tent
• E618Decortication of remaining lobe(s) or major thoracic lysis of adhesions
• E619Sleeve lobectomy
• E620Wedge bronchoplasty
• E621Diagnostic wedge resection
• E622Bronchoscopic procedure for patients under 3 years of age
• E623Repeat operation after 30 days
• E624Completion pneumonectomy for positive resection margin
• E625Sleeve resection of pulmonary artery
• E626Implantation of inferior mesenteric artery
• E627Two Surgeon - ruptured aneurysm
• E628Each additional lead extraction
• E629Endoscopic placement of stent in duodenum
• E630Endoscopic placement of stent in colon
• E631Segmental resection of cervical trachea - with resection of cricoid
• E632Bronchoscopy with removal of foreign body
• E633Bronchoscopy with dilatation of stricture
• E634Bronchoscopy with selective endobronchial blocker or catheter insertion
• E635Palliative endobronchial tumour resection
• E636Broncho-alveolar lavage
• E637Bronchoscopic selective brushings of all 18 segmental bronchi for occult carcinoma in situ
• E638Transbronchial lung biopsy
• E639Anterior cricoid split
• E640Chest wall reconstruction - after chest wall resection
• E641Endoscopic placement of stent in rectum
• E642External approach for nasal procedures
• E643Laryngoscopy - direct, using laser with microlaryngoscopy for benign disease
• E644Radical mediastinal node dissection
• E645Off pump coronary artery bypass grafting
• E646Vein patch angioplasty of coronary artery
• E647Patch aortoplasty with pericardium or graft
• E648Excision of extensive endocardial scar
• E649Embolectomy and/or thrombectomy when done in conjunction with other vascular procedures
• E650Cardiopulmonary bypass
• E651Coronary endarterectomy and/or gas endarterectomy
• E652Use of internal mammary, epigastric or radial artery for bypass graft construction
• E653Stripping procedure add-on
• E654Coronary artery repair - each additional
• E655Re-operation for failed vascular grafts - repair or replacement of existing prosthesis
• E656Aortic annuloplasty
• E657Ilio-femoral thrombectomy - plus I.V.C. ligation
• E658HIS Bundle ablation
• E659With thoracotomy
• E660Epicardial E.P.S. mapping
• E661Endocardial E.P.S. mapping
• E662Intraductal cytology brushing or intraductal biopsy
• E663Interruption of bronchial collateral arteries - when done in conjunction with other cardiac surgery
• E664Closure of duodenum
• E665Carotid endarterectomy with patch graft
• E666Biliary tract manometry
• E667Ruptured
• E668ERCP with cannulation of minor papilla
• E669ERCP with oesophagoscopy-gastroscopy and may include duodenoscopy
• E670Re-operation involving open heart procedures - following previous thoracotomy
• E671Re-operation following previous sternotomy
• E672Composite femoral popliteal/tibial bypass
• E673Lysis of extensive intra-abdominal adhesions
• E674Snare polypectomy (1st polyp > 1 cm)
• E675Gastroscopy - snare polypectomy of additional polyp > 1 cm
• E676AMorbidly obese patient - major surgery
• E676BMorbidly Obese Patient, Surgical Assistant, to Major Procedure Add - 6 Units
• E677Transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes
• E678TBNA of lung mass
• E679Vein graft harvest remote from site of by-pass
• E680Insertion of first endobiliary prosthesis and/or pancreatic stent
• E681Insertion of additional endobiliary prosthesis and/or pancreatic stent
• E682Graft of major vessel for cardiopulmonary bypass or ventricular assist device
• E683Advanced surgical approach premium
• E684Insertion of implantable central venous catheter or subcutaneous venous access reservoir - infant or child
• E685Total excision of very large sessile polyp (> 3 cm) through colonoscope
• E686Percutaneous abdominal abscess drainage, additional quadrant or pelvis
• E687Excision of obstructive tumour or stricture through colonoscopy - with laser debulking
• E688Polyp or tumour of rectum or sigmoid - laser debulking
• E690Oesophagoscopy-gastroscopy, with or without duodenoscopy - with removal of foreign body(ies)
• E691Omphalocele or gastroschisis repair requiring mobilization of abdominal wall musculature
• E692Oesophagoscopy-gastroscopy, with or without duodenoscopy - with laser debulking
• E693Laparotomy - with repair of ruptured bladder
• E694Laparotomy with nephrectomy
• E695Oesophagoscopy-gastroscopy, with or without duodenoscopy - laser palliation of oesophageal tumour, extensive, complete obstruction
• E696Oesophagoscopy-gastroscopy, with or without duodenoscopy - with dilatation of oesophagus
• E697Gastrostomy - with repair of Mallory-Weiss laceration
• E698Oesophagoscopy-gastroscopy, with or without duodenoscopy - with pneumatic or balloon dilation
• E700Extraction of additional tooth
• E702Endoscopic biopsy of lesion (3 or more)
• E703Oesophagoscopy-gastroscopy, with or without duodenoscopy - with snare polypectomy first polyp (> 1 cm)
• E704Choledochoscopy
• E705Colonoscopy into terminal ileum
• E706Gastrectomy with choledochotomy
• E707Gastrostomy - when done with another intra-abdominal procedure
• E708Gastrectomy with vagotomy
• E709Gastrectomy with cholecystectomy
• E710Rectal biopsy - additional
• E711Partial or subtotal gastrectomy after previous gastro-enterostomy
• E712Partial or subtotal gastrectomy after previous vagotomy and pyloroplasty
• E713Gastrectomy after previous partial gastrectomy
• E714Repair of entero-cutaneous fistula in conjunction with bowel resection
• E715Marsupialization and/or decompression of more than three cysts or abscesses
• E716Gastroduodenostomy or gastrojejunostomy plus vagotomy
• E717Biopsy and/or coagulation of angiodysplastic lesion(s)
• E718Bowel resection following previous resection
• E720Excision of additional polyp (3 mm to 5 mm)
• E721Choledochotomy
• E722Cholecystectomy with transduodenal sphincterotomy
• E723Laparotomy - with repair of lacerated spleen
• E724Paracentesis - administration of chemotherapy or sclerosing agent
• E725Recurrent hernia repair - all types, except oesophageal
• E726Repeat recurrent inguinal hernia (more than 2 repairs)
• E727Hydrocele - extra
• E728Cholecystectomy with truncal or selective vagotomy
• E729Cholecystectomy with highly selective vagotomy
• E730Partial or total oesophageal resection - with reconstruction
• E731Suture of bleeding peptic ulcer
• E732Intubation of small intestine - with biopsy
• E733Laparotomy with repair of intestine - single
• E734Laparotomy - multiple and/or with resection
• E735Laparotomy - with splenectomy (partial or complete)
• E736Laparotomy with repair of lacerated liver
• E737Intra-abdominal procedure add-on
• E738Continent ileostomy
• E739Laparotomy with repair of diaphragm
• E740Colonoscopy to splenic flexure
• E741Colonoscopy to hepatic flexure
• E742Oesophageal hiatus hernia repair - additional procedures
• E743Cholecystoenterostomy with entero-enterostomy
• E744Oesophageal hiatus hernia repair with gastroplasty
• E745Insertion of tubes and post-operative continuous peritoneal lavage
• E746Sigmoidoscopy - performed outside hospital
• E747Endoscopy to cecum
• E748Panniculectomy - with repair of umbilical hernia
• E749Colonoscopy rendered in private office
• E750Cystotomy or cystostomy - when done in conjunction with another procedure
• E751Cystoscopy with insertion of chemotherapeutic agent(s)
• E752Repeat surgery on kidney at least 30 days after previous kidney surgery
• E753Donor nephrectomy - live donor
• E754Pyeloplasty with removal of calculus
• E755Inflatable penile prosthesis
• E756Umbilical Hernia Repair - Add-on for Resection of Strangulated Contents
• E757Umbilical Hernia Repair - without Resection of Strangulated Contents (Add-On)
• E758Oesophageal hiatus hernia repair
• E759Removal of renal calculi - disintegrated
• E760Cystoscopy and diagnostic Ureteroscopy with removal of calculus
• E761Intracorporeal lithotripsy by any method
• E762Reconstruction or repair of renal artery done in addition to renal transplantation procedures
• E764Umbilical hernia repair in conjunction with other abdominal surgery
• E765Hepatic artery reconstruction or repair during liver transplant
• E766Nephrectomy with gland dissection
• E767Repair of vena cava for thrombus - below the hepatic vein
• E768Repair of vena cava for thrombus - above the hepatic vein
• E769Renal transplantation team fee
• E770Oesophagoscopy-gastroscopy with duodenoscopy and drainage of bile after I.V. CCK stimulation
• E771Team fee - renal transplantation
• E772Percutaneous removal of staghorn calculus
• E773Placement of ureteric stent past obstructing lesion (unilateral)
• E775Cystoscopy with unilateral ureteral catheterization and specimen collection
• E776Unilateral brush biopsy of renal pelvis and/or ureter, and/or transurethral biopsy of bladder
• E777Cystometrogram
• E780Cystoscopy with needle biopsy of prostate
• E781Cystoscopy with electrocoagulation of tumour(s)
• E782Cystoscopy with electrocoagulation of Hunner ulcer
• E783Secondary surgical evacuation of bladder clots and control of haemorrhage
• E784Hydrodistention of bladder
• E785Multiple biopsies for surveillance of inflammatory bowel disease-associated colorectal cancer or dysplasia
• E786Resection or incision bladder neck, female
• E787Resection or incision of bladder neck, male
• E788Ureteral meatotomy
• E789Removal foreign body or calculus
• E790Removal of ureteric catheter
• E791Periurethral injection of bulking agents
• E792Laparoscopic approach premium - partial or heminephrectomy
• E793Laparoscopic or laparoscopic assisted excision of spleen
• E794Cholecystectomy - with intra-operative cholangiogram
• E795Oesophagoscopy-gastroscopy, with or without duodenoscopy - with brushing of oesophagus, stomach, and/or duodenum
• E796Mobilization of splenic flexure
• E797Management of gastrointestinal bleeding
• E798Management of complicated upper gastrointestinal bleeding in haemodynamically unstable patients
• E799Oesophagoscopy-gastroscopy, with or without duodenoscopy - each additional polyp, by snare polypectomy (> 1 cm)
• E800Radial or linear probe through endoscope
• E801Endoscopic ultrasound, including biliary and/or pancreatic examination, to endoscopy fee
• E802Biopsy or fine needle aspiration of lesion
• E803Dilation of stricture
• E804Injection of metastases, nodes, masses, or celiac plexus
• E805Drainage of pseudocyst (including stent insertion if performed)
• E807Recipient, with evisceration
• E808Neo-rectal pouch formation
• E809Excision of panniculus extending beyond mid thigh
• E810Coloanal anastomosis
• E811Recurrent fistulae surcharge
• E812Repeat resection procedures
• E813Radiofrequency ablation of dysplastic Barrett’s esophagus
• E814Portal lymphadenectomy
• E815Angioplasty remote from subintimal dissection site
• E816Electrohydraulic lithotripsy for choledocholithiasis
• E817Cystoscopy with catheterization of the ureter and retrograde injection of opaque media, unilateral
• E818Cystoscopy with insertion of ureteric stent, unilateral
• E819Diagnostic ureteroscopy of second ureter
• E820Biopsy of ureter and/or pelvis using ureteroscope
• E821Biopsy, needle - transperineal method
• E822Ureteroscopy to upper third of ureter or renal pelvis
• E823Resection and fulgarization of one or more ureteral or renal pelvic tumours
• E824Cystoscopy with bladder biopsy
• E825Nasal bones - with mini-plate(s) per major fracture line
• E826Percutaneous pinning
• E827Repair of hernia fascial defect (> 10 cm) with component separation
• E828Rigid internal fixation
• E829Repair of ventral or incisional hernia defect (5-10 cm) with component separation
• E830Orbit with maxilla - with mini-plate(s), per major fracture line
• E831Skin grafts or revision surgery
• E832Excision of fascia for Dupuytren's, additional rays
• E833Epidural injection with insertion of subcutaneous port
• E834Insertion of testicular prosthesis
• E836Endoscopic mucosal resection (EMR) of very large sessile polyp or lesion of the upper gastrointestinal tract
• E837Additional biopsy(s) performed by EBUS
• E838Bronchoscopy in a high risk patient with respiratory failure
• E839Flexible endoscopic procedure add-on
• E840Repair of septal perforation
• E841Septorhinoplasty with autologous bone or cartilage graft
• E842Non-autologous graft or implant to nose
• E843Bilateral endoscopic sphenoidotomy
• E844Bilateral endoscopic ethmoidectomy
• E8453D CT/MRI image guided system - paranasal sinus surgery
• E846Rigid bronchoscopy rendered immediately after flexible bronchoscopy
• E847Diaphragm reconstruction with mesh or synthetic material
• E848Reconstruction of pericardium requiring repair with synthetic graft material
• E849Resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic material
• E852Ectopic pregnancy - with tuboplasty
• E853Resection of diaphragm including reconstruction
• E854Ureterolysis - unilateral
• E855Laparoscopy with dye injection
• E857D&C for abnormal uterine bleeding
• E860Diagnostic laparoscopy prior to laparotomy
• E861Paracervical block
• E862Laparoscopic surcharge
• E863Two surgeons laparoscopic procedure
• E865Bilateral procedure - Frontal sinusotomy
• E870Laminaria tent supply
• E874CT perfusion study
• E875Magnetic resonance spectroscopy and/or fiber tracking
• E876Magnetic resonance spectroscopy and/or fiber tracking
• E877Repeat strabismus procedure
• E880Parathyroid(s) re-implantation
• E882Laryngectomy with thyroid lobectomy
• E883Laryngectomy with thyroid lobectomy
• E884Laryngectomy with total thyroidectomy
• E885Transcervical thymectomy performed in association with parathyroidectomy
• E886Extended endonasal endoscopic approach for skull base access
• E887Resection of pituitary lesion extending beyond the sella turcica
• E888Resection of non-pituitary lesion(s) extending to optic nerve(s), optic chiasm or hypothalamus
• E889Complex endonasal endoscopic resection from cranial nerves
• E890Complex endonasal endoscopic resection from cavernous sinuses
• E891Complex endonasal endoscopic resection from frontal or temporal lobe or brainstem
• E892Harvesting of pedicled vascular flap(s) greater than 3cm in size
• E893Complex closure, repair and/or reconstruction of surgical defect(s)
• E894Aneurysm greater than 2.5 cm
• E895Craniotomy - cerebral arteriovenous malformation greater than 4 cm
• E896Sophisticated micro-electrode recording during stereotaxis
• E898Intracranial aneurysm repair - lesion greater than 2.5 cm
• E899Nerve graft - for each additional cable
• E901Operating microscope usage
• E902Meningioma and other tumourous lesions, including pituitary tumours - lesion greater than 2 cm diameter
• E903Meningioma and other tumourous lesions, including pituitary tumours - team fee for acoustic neuroma
• E904Posterior fossa
• E905Endonasal endoscopic or microscopic approach for surgical access to sella turcica
• E906Operating microscope usage premium
• E908Removal of intracerebral and/or subdural haematoma in conjunction with ruptured intracranial aneurysm or arteriovenous malformation
• E911Implantation of neuroma into bone or muscle
• E912Reduction of skull fracture - with repair of dural laceration
• E916Ventriculoscopy with biopsy
• E917Ventriculoscopy with interventriculostomy
• E918Ventriculoscopy with removal of foreign body
• E919Intracranial duroplasty (greater than 2 cm diameter)
• E921Repeat cranial procedure
• E922Craniotomy with repair of frontonasal encephalocele
• E925Repeat peripheral nerve procedure or delayed acute nerve injury repair
• E930Lateral canthoplasty - when done in conjunction with another procedure
• E931Implantation and removal of radioactive sources into brain tumour
• E932Orbit with maxilla - primary bone graft reconstruction (separate site) in addition to local repair, unilateral
• E933Zygomatic fracture dislocation - with mini-plate(s), per major fracture line
• E934Orbit - primary bone graft (separate site)
• E935Orbit with maxilla - primary bone graft reconstruction (separate site) in addition to local repair, bilateral
• E936Vitrectomy, pars plana, for vitreous haemorrhage, with or without endolaser, per eye
• E937Autogenous conjunctival transplant
• E938Vitrectomy with transscleral retinal suturing
• E939Dacryocystorhinostomy - repeat procedure
• E940Anterior vitrectomy
• E941Exenteration - with major plastic repair
• E942Cantholysis
• E943Primary closure of full thickness lid defect - with releasing rotation flap including cantholysis
• E944Free posterior lamellar graft
• E945Entropion - repeat
• E946Mastoid cavity obliteration
• E947Maxillectomy with orbital exenteration
• E948Entropion repair with mucous membrane graft
• E949Strabismus surgery - adjustable suture
• E950Insertion of artificial intraocular lens
• E951Corneal transplant - with artificial prosthesis
• E953Scleral graft
• E954Lacrimal bypass procedure or canalicular reconstruction
• E955Meatoplasty or canalplasty for congenital malformation - with grafting of canal
• E956Meatoplasty or canalplasty with tympanoplasty, ossiculoplasty, and/or mastoidectomy
• E957Tympanoplasty with mastoidectomy
• E958Nerve block with sclerosing solution
• E959Meatoplasty and/or canalplasty
• E960Mastoidectomy with ossiculoplasty
• E961LeFort I advancement - in two segments
• E962LeFort I advancement - in three segments
• E963LeFort I intrusion - in two segments
• E964LeFort I intrusion - in three segments
• E965LeFort I extrusion in two segments
• E966LeFort I extrusion - in three segments
• E967LeFort I cleft palate - in two segments
• E968LeFort I cleft palate - in three segments
• E969LeFort I cleft palate - with SMR
• E970LeFort I cleft palate with pharyngoplasty
• E971LeFort I cleft palate - with closure alveolar fistula with or without bone graft
• E972LeFort I cleft palate - closure hard palate fistula with or without bone graft
• E973Pericranial flap to orbit or face - when in conjunction with coronal approach for main operation
• E974Pericranial flap to orbit or face - when in conjunction with coronal approach for main operation
• E975Rib graft - each subsequent rib
• E976Costochondral or chondral graft - each subsequent rib
• E977Tumour free margin with frozen section excision
• E979Clinoidal drilling for complex aneurysms
• E981Tympanotomy with removal of middle ear tumour
• E982Examination - Pediatric premium for Z850
• E983Glaucoma filtering procedure - following previous glaucoma filtering procedure
• E984Glaucoma filtering procedure - secondary
• E985Tympanoplasty
• E986Suprarenal or supraceliac aortic cross clamp
• E987Endovascular thrombectomy - with intracranial stent
• E988Endovascular thrombectomy - with extracranial stent
• E989Balloon assistance or balloon standby for intracranial aneurysm repair
• E990Stent assistance for intracranial aneurysm
• E991Flow-diverter or intra-saccular device deployment