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Minor office procedures OHIP billing codes

The small procedures done in an office or emergency department: lacerations, skin lesions and biopsies, abscesses, foreign bodies, nails, injections, epistaxis and IUDs.

33 codes in 7 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 00 is in the full Family Practice listing.

Lacerations

Skin lesions & biopsies

Abscesses & foreign bodies

Nails

Injections & aspirations

Ear & nose

Women's health

How to use this minor procedures code set

This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to family practice and practice in general (specialty 00) — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a minor procedures physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.

Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.

Common questions

Which consultation or assessment code does minor office procedures bill?

The lacerations section of this set starts with Z154 (Repair of laceration - up to 5 cm if on face and/or requires tying of bleeders and/or closure in layers), which pays $39.35 under the current Ontario Schedule of Benefits. 6 codes are listed in that section.

What is in the Minor office procedures code set?

33 OHIP billing codes across 7 sections: Lacerations; Skin lesions & biopsies; Abscesses & foreign bodies; Nails; Injections & aspirations; Ear & nose; Women's health. The small procedures done in an office or emergency department: lacerations, skin lesions and biopsies, abscesses, foreign bodies, nails, injections, epistaxis and IUDs.

Are these the current OHIP fees?

Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.

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