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Surgical specialties & anaesthesia
Orthopaedic Surgery OHIP billing codes
Orthopaedic consultations and visits, arthroplasty, arthroscopy, fracture fixation by region, hand surgery, foot and ankle, casts, injections and amputations.
136 codes in 14 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 06 is in the full Orthopaedic Surgery listing.
Consultations & assessments — office
Hospital in-patient
- C065ConsultationOrthopaedic Surgery - Hospital In-Patient Consultation—
- C066Repeat consultationA repeat consultation for a hospital in-patient rendered by a specialist in Orthopaedic Surgery. This service requires a new written request for the same problem after the patient has received care from another physician in the interim.—
- C063Specific assessment - non-emergency hospital in-patient—
- C064Specific re-assessmentSpecific re-assessment for Orthopaedic Surgery (in-patient)—
- C062Subsequent visit - first five weeksSubsequent visit - first five weeks (per visit)—
- C067Subsequent visit - sixth to thirteenth week inclusiveSubsequent visit - 6th to 13th week—
- C069Subsequent visit after thirteenth week (maximum 6 per patient per month)—
- C068Subsequent visits - Nursing home or home for the agedConcurrent care - Orthopaedic Surgery—
Arthroplasty
- R440Total hip replacement - acetabulum and femurA surgical procedure for a total hip replacement, involving both the acetabulum and femur components. This is a major surgery eligible for anaesthesia, assistant, and various premiums.$708.70
- R441Total knee replacement - both compartmentsR441 is a surgical procedure for which anaesthesiologist and surgical assistant services are payable. Payment for a second surgical assistant is also allowed without special authorization.$681.15
- R482Single component knee arthroplastySingle component knee arthroplasty (e.g., MacIntosh)$351.70
- R483Double component knee arthroplastyR483 is a surgical procedure for which a second assistant's services are eligible for payment without requiring prior authorization from a medical consultant.$619.90
- R241Revision total arthroplasty hipSurgical revision of a total hip replacement, replacing either the acetabular or femoral component, or both. Add-on codes `<billingCode>E589</billingCode>` (bone graft) and `<billingCode>E593</billingCode>` (acetabular reconstruction) may apply.$1304.80
- R240Revision total arthroplasty shoulderSurgical procedure for the revision of a total shoulder arthroplasty. This service is eligible for surgeon (A), assistant (B), and anaesthetist (C) fees, with assistant and anaesthetist fees calculated based on units.$942.95
- R487Total prosthesisSurgical implantation of a total shoulder prosthesis. This procedure is eligible for surgeon, assistant, and anaesthetist fees, with various available add-on premiums.$905.80
- R493Ankle - total replacementA surgical procedure for the total replacement of the ankle joint. This service is eligible for surgeon, surgical assistant, and anaesthesiologist fees.$1204.50
- R248Total knee replacement with take down of fusionA surgical procedure from the Musculoskeletal System section of the Schedule of Benefits. Payment is subject to general surgical rules and may be eligible for various premiums for the surgeon, assistant, and anaesthetist.$838.00
- R553Total hip replacement with take down of fusionSurgical procedure for a total hip replacement which includes the takedown of a pre-existing hip fusion.$972.90
Arthroscopy
- R687Knee arthroscopy set-up, degenerative disease of the kneeA base procedural fee for knee arthroscopy in patients with degenerative disease. This setup fee includes synovial biopsy and/or the resection or trimming of plica.$97.35
- R699Knee arthroscopy set-up, non-degenerative disorders of the knee or acutely locked kneeA base procedural code for knee arthroscopy for non-degenerative disorders or an acutely locked knee. It includes diagnostic arthroscopy, synovial biopsy, and plica resection. Other specific arthroscopic knee procedures are billed in addition.$97.35
- R684Shoulder arthroscopy setupA foundational surgical procedure for shoulder arthroscopy which includes setup and basic procedures like debridement or synovectomy. Other specific arthroscopic shoulder procedures may be billed in addition if they are not considered a component of this setup fee.$400.00
- R683Elbow arthroscopy setupElbow arthroscopy setup, includes when rendered debridement, synovectomy, synovial biopsy, removal of loose body(ies) and/or screw, drilling of defect or microfracture, and/or arthroscopic epicondylar release$400.00
- R682Wrist arthroscopy setupArthroscopic setup of the wrist, a procedure that includes various common tasks like debridement, synovectomy, or removal of loose bodies. Additional, more complex arthroscopic wrist procedures may be billed separately.$400.00
- R688Ankle arthroscopy setupThis surgical procedure is for an ankle arthroscopy setup, which includes various intra-articular procedures such as debridement, synovectomy, removal of loose bodies or hardware, drilling of defects, microfracture, and synovial biopsy.$400.00
- R686Hip arthroscopyA surgical procedure for hip arthroscopy setup, which includes various intra-articular procedures like debridement, synovectomy, and removal of loose bodies. Certain labral and bone work may be billed as add-on codes.$669.80
- E495Meniscectomy, partial or total, for symptomatic meniscal tearSurgical procedure for the partial or total removal of a torn meniscus in the knee. Prior approval is required for certain patients with osteoarthritis.$240.45
- E496Repair medial or lateral meniscusSurgical repair of a medial or lateral meniscus of the knee. This service includes debridement of the attachment site if performed and is not payable with <billingCode>E495</billingCode> for the same meniscus, or with <billingCode>E489</billingCode>, <billingCode>E494</billingCode>, or <billingCode>E498</billingCode> for attachment site debridement.$336.65
- R508Suturing of medial or lateral meniscusA surgical procedure for the suturing and repair of a torn medial or lateral meniscus in the knee.$242.25
- E494Debridement (degenerative cartilage)Arthroscopic substantial debridement of unstable degenerative articular cartilage of the knee. This procedure includes associated synovectomy, meniscal trimming, and/or chondroplasty.$299.00
- E498Debridement (trauma)Arthroscopic substantial debridement of one or more focal flaps of unstable post-traumatic articular cartilage causing mechanical symptoms.$299.00
- E478Pinning of osteochondral fragmentArthroscopic add-on procedure for the pinning of an osteochondral fragment, billable with the primary arthroscopy of the wrist, elbow, shoulder, knee, or ankle.$251.55
- E493Drilling of defectA surgical procedure performed on the knee involving the drilling of a defect, which also includes the removal of any associated loose bodies.$251.55
- E485Arthroscopic capsular release for frozen shoulderAn add-on to `R684` for the arthroscopic capsular release for a frozen shoulder.$240.50
- E487Resection of labrumAn add-on fee for the resection of the labrum, claimed in addition to the primary hip arthroscopy procedure (R686). This code cannot be billed with labrum repair (<billingCode>E488</billingCode>).$240.00
- E488Repair of labrumAn add-on fee for the surgical repair of the labrum, to be claimed in conjunction with hip arthroscopy (R686).$350.00
Shoulder & upper limb
- R593Rotator cuff repair - simple, end-to-end or side-to-sideA surgical procedure within the Musculoskeletal System section for which a second assistant's services are payable without prior authorization.$345.35
- R594Rotator cuff repair - complex$498.30
- R416Rotator cuff explorationRotator cuff exploration - includes acromioplasty, excision of coraco-acromial ligament and subacromial bursa but excludes simple excision of clavicle$206.90
- R512Excision of subacromial bursaSurgical excision of the subacromial bursa. This procedure is not billable with <billingCode>R416</billingCode>, <billingCode>R593</billingCode>, or <billingCode>R594</billingCode>.$211.60
- D015Glenohumeral joint - closed reduction without anaestheticA surgical procedure for the closed reduction of a glenohumeral (shoulder) joint dislocation, performed without general or regional anaesthesia.$49.20
- D016Glenohumeral joint - closed reduction with anaestheticSurgical procedure for the closed reduction of a dislocated glenohumeral (shoulder) joint, performed under anaesthesia.$111.40
- D017Glenohumeral joint - open reduction, earlySurgical procedure for the early open reduction of a glenohumeral (shoulder) joint dislocation. This service is billable by the surgeon (`<billingCode>D017A</billingCode>`), assistant (`<billingCode>D017B</billingCode>), and anaesthetist (`<billingCode>D017C</billingCode>`).$323.85
- F054Fracture of neck of humerus - closed reductionThis service covers the non-operative, closed reduction of a fracture of the humeral neck, where the head of the humerus is not dislocated.$133.60
- F055Open reduction of shoulder neck fractureSurgical procedure for the open reduction of a fracture of the humeral neck, where the head of the humerus is not dislocated.$775.95
- F118Clavicle - open reduction`<billingCode>F118</billingCode>` is a surgical procedure for the open reduction of a clavicle fracture. Assistant and anaesthesia fees are calculated based on units, and various premiums may apply for after-hours, trauma, or specific patient age groups.$691.30
- F044Fracture of shaft - open reductionA surgical procedure for the open reduction of a fracture of the shaft of the humerus.$904.15
- F052Neck with dislocation of head - open reductionSurgical procedure for the open reduction of a fracture of the humeral neck with associated dislocation of the humeral head.$843.65
Hand & wrist
- N290Decompression median nerve at wrist (carpal tunnel syndrome)A surgical procedure for the decompression and release of the carpal tunnel, which involves relieving pressure on the median nerve.$197.15
- R549Ganglion - simple or complexA surgical procedure on the hemic or lymphatic system, eligible for surgeon (`<suffix>A</suffix>`), assistant (`<suffix>B</suffix>`), and anaesthetist (`<suffix>C</suffix>`) fees. Subject to various premiums based on patient age and time of service.$221.80
- R551Excision of fascia for Dupuytrens (palmar fibromatosis), single raySurgical excision of the fascia for a single ray in the hand to treat Dupuytren's contracture, also known as palmar fibromatosis. This procedure may or may not involve skin flaps and includes the palmar and digital components.$322.15
- R536Tendon release (open) - finger/palmA surgical procedure involving the open release of one tendon in the finger or palm. For additional tendon releases during the same operation, see add-on code `<billingCode>E592</billingCode>`.$186.35
- R541Flexor tenolysis with pulley preservationA surgical procedure for the release of a flexor tendon in the hand or wrist, which includes the preservation of the tendon pulley system.$309.00
- R534Tendon sheath - incision and drainageR534 is a surgical procedure related to the haematic and lymphatic system. The specific nature of the procedure is detailed in the Schedule of Benefits.$313.60
- R585Suture flexor tendon - singleSurgical procedure for suture of a single flexor tendon. Assistant and anaesthesia services are eligible.$433.10
- R578Suture extensor tendon and/or open repair acute or chronic boutonniere deformityRepresents a cardiovascular surgical procedure. Payment for the surgeon (suffix A) includes pre-operative assessment and normal post-operative care. Fees for assistant (suffix B) and anaesthesia (suffix C) are calculated based on time and basic units.$276.10
- D001Closed reduction of finger dislocationSurgical procedure for the closed (non-operative) reduction of a dislocated finger joint.$57.50
- D007Closed reduction of carpal dislocationSurgical procedure for the closed reduction of a dislocation of one or more carpal bones. This is a non-operative manipulation to realign the bone(s).$128.05
- F019Open reduction of scaphoidSurgical open reduction of a scaphoid (carpal navicular) bone fracture.$637.30
- F030Radius - distal - open reduction, other than isolated radial styloid fractureRepresents a surgical procedure on the integumentary system. Payment is calculated separately for the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C), and is subject to general rules and premiums outlined in the Schedule of Benefits.$682.00
- F026Radius and ulnar shaft - open reductionRepresents a surgical procedure for a fracture and/or dislocation. Specific details are not provided in the source document, but it is eligible for surgical, assistant, and anaesthesia fees and associated premiums.$854.65
- F033Radius or ulna - open reductionSurgical procedure for the treatment of fractures or dislocations. This code is billable by the operating surgeon (suffix A), assistant surgeon (suffix B), and anaesthesiologist (suffix C).$660.10
- F011Open reduction of metacarpal fractureSurgical procedure for the open reduction of a metacarpal fracture. Use add-on code <billingCode>E559</billingCode> for each additional metacarpal open reduction.$320.80
- F007Open reduction of phalanx fractureSurgical procedure for the open reduction of a single phalanx fracture (a bone in the finger or toe).$346.50
- F017Open reduction, one or moreSurgical procedure for the open reduction and internal fixation of one or more fractures of the carpal bones in the wrist.$443.00
Hip & femur
- F100Femoral neck, pertrochanteric, intertrochanteric, trochanteric fracture fixationA surgical procedure for the open reduction of a femoral neck, trochanteric, or subtrochanteric fracture, stabilized with a pin and plate/screws.$771.75
- F101Primary prosthesis, femur onlySurgical repair of a fracture of the upper femur (femoral neck, trochanteric, or subtrochanteric) via open reduction, including the insertion of a primary prosthesis such as Moore, Thompson, Unipolar, or Bipolar types.$672.65
- F096Open reduction: FemurA surgical procedure for the open reduction of a femur fracture, eligible for surgeon, assistant, and anaesthetist services.$774.05
- D042Hip dislocationA surgical procedure for the closed reduction (non-operative realignment) of a dislocated hip joint.$268.25
- R627Open reduction/fixation of pelvis or hipPerforms an open surgical reduction and internal fixation for a slipped capital femoral epiphysis.$758.65
- R642Closed reduction/internal fixationA surgical procedure involving the closed reduction and internal fixation of a slipped capital femoral epiphysis.$502.30
- F134Closed reduction of anterior and/or posterior pelvic ring fracture(s) and/or dislocation(s)This surgical procedure is for the closed reduction of a pelvic ring fracture.$750.00
- F135Anterior pelvic ring fracture excluding sacrum, sacro-iliac joint(s) or acetabulumA surgical procedure for the open reduction of a pelvic ring fracture, where the fracture is exposed to directly visualize and realign the bones, often with internal fixation.$950.00
Knee & leg
- F087Patella - open reduction or excision with or without repairA surgical procedure for a fractured patella (kneecap) involving either open realignment of bone fragments or removal of bone fragments, with or without tendon repair.$504.45
- F080Open reduction of tibial shaft fractureOpen reduction - shaft$789.00
- F084Fibula - open reductionA surgical procedure involving an incision to directly realign a fractured fibula, often including internal fixation. This service is billable by the surgeon, assistant, and anaesthetist.$653.05
- F078Tibia fracture - no reduction, rigid immobilizationno reduction, rigid immobilization$115.95
- F079Tibia with or without fibula - closed reductionSurgical procedure for the treatment of fractures and/or dislocations. This code is billable by the performing surgeon, with separate calculations for surgical assistants and anaesthetists.$180.05
- D038Knee dislocation - closed reductionA surgical procedure to perform a closed reduction of a dislocated knee.$207.90
- R542Extensive ligament reconstruction of kneeSurgical procedure for extensive reconstruction of knee ligaments, including the use of synthetic materials and preparation of the intracondylar notch.$517.85
- R599Simple ligament reconstruction - oneA surgical procedure for the simple reconstruction of a single ligament in the knee.$361.95
Foot & ankle
- F076Ankle fracture - open reduction - one malleolusSurgical procedure for the open reduction of a single malleolus fracture of the ankle.$466.70
- F077Open reduction - multiple malleoli or ligamentsAn open surgical procedure to repair a complex ankle fracture involving multiple malleoli or ligaments.$746.10
- F108Ankle fracture with tibial Plafond burst - open reductionAn open reduction surgical procedure for an ankle fracture that includes a tibial Plafond burst.$954.35
- F075Ankle fracture - closed reduction`<billingCode>F075</billingCode>` is a surgical procedure for the closed reduction of an ankle fracture.$144.80
- F074Ankle fracture - no reduction - rigid immobilizationProvides for the non-operative management of an ankle fracture through rigid immobilization, typically with a cast, when no reduction is required.$67.75
- F072Open reduction - os calcis fracture or talus fractureA surgical procedure for the open reduction of an os calcis (heel bone) fracture with repair of both the subtalar and calcaneocuboid joints or a talus fracture with repair of the talar neck or body. This service is eligible for assistant and anaesthesia fees.$746.10
- F068Open reduction of tarsus fractureSurgical procedure for the open reduction of a fracture of the tarsal bones, excluding the os calcis.$456.45
- F064Metatarsus - open reduction - oneSurgical procedure for the open reduction of a fracture of a single metatarsal bone.$358.05
- F065Open reduction - two or more metatarsus fracturesSurgical repair of fractures of two or more metatarsal bones through an open incision. This procedure is eligible for surgical, assistant, and anaesthesia fees.$501.60
- R302Bone - Bunion/bunionetteSurgical excision of a bunion or bunionette, a common foot deformity.$150.30
- R355Hallux valgus reconstructionA surgical procedure to correct a hallux valgus (bunion) deformity of the foot, using techniques such as the Joplin or McBride procedure.$446.40
- R471Interphalangeal arthrodesisA surgical procedure involving the fusion of a single interphalangeal joint in the foot. This is a surgical procedure that requires anaesthesia and may involve a surgical assistant.$216.15
- R430Claw or hammer or overlapping 5th toeSurgical correction of claw and hammer toe deformities. This procedure can be billed with an add-on code, `<billingCode>E594</billingCode>`, for each additional hammer toe corrected during the same operation.$287.70
- R475Ankle and subtalar fusion with or without additional midtarsal(s), one stageA surgical procedure for the one-stage fusion of the tibiotalar, subtalar, and talonavicular joints of the ankle and foot.$1250.20
- R697Metatarsal-tarsal fusionSurgical fusion of one or more metatarsal-tarsal joints. This procedure includes any required neurovascular exploration, protection, and tenolysis.$452.05
- E594Each additional hammer toeAn add-on fee for the surgical correction of each additional hammer toe, which must be billed in conjunction with the primary procedure, `R430`.$56.55
Spine
- N500Disc excision (one level)Anterior spinal decompression of the cervical spine involving the surgical excision of one intervertebral disc.$1097.90
- N506Disc excision (one level)Anterior spinal decompression of a single lumbar level, including the required laparotomy or retroperitoneal approach.$1224.00
- E370Posterior spinal arthrodesis - one disc levelPosterior spinal arthrodesis with instrumentation for a single disc level, performed by the same surgeon in conjunction with a primary decompression or osteotomy procedure in the cervical (below C2), thoracic, or lumbar spine.$880.15
- N572Open reduction, any single level, spine fracture/dislocation, anterior/posteriorA surgical procedure for the open reduction of a single-level spine fracture or dislocation via an anterior or posterior approach. This service includes decompressive services at the same level.$1097.30
- N570Vertebroplasty (injection of bone cement) as sole procedure, first levelA surgical procedure involving the injection of bone cement into a vertebra, performed as a standalone procedure on the first level. Additional levels may be billed separately using an add-on code.$1004.50
- F200Spine fracture - no reduction, braceManagement of a spinal fracture without reduction, including the application of a brace or Halo orthosis. This fee represents the total care provided by the operating surgeon.$178.50
Casts & splints
- Z201Finger cast applicationApplication of a plaster cast to the full arm. This is a surgical procedure that may be delegated to a trained employee under specific supervision rules.$10.25
- Z202HandApplication of a cast. This procedure is listed as a delegatable procedure, meaning it can be performed by a physician's employee under specific conditions.$14.90
- Z203Arm, forearm or wristApplication of a cast, which is a surgical procedure listed in the Musculoskeletal System section of the Schedule. This procedure can be delegated to a trained employee under specific conditions outlined on page <SectionPages>GP62</SectionPages>.$24.10
- Z198ToesApplication of a cast, a surgical procedure that can be delegated to a trained employee in a physician's office under specific conditions.$10.25
- Z199FootRepresents the application of a specific type of cast. This procedure may be delegated to a trained employee in the physician's office under specific supervision rules.$14.90
- Z213Below knee, knee splintsApplication of a cast, such as for a club-foot. This is a surgical procedure that may be delegated to a trained employee under specific conditions outlined in the Schedule of Benefits.$24.10
- Z211Whole leg (mid thigh to toes)Procedure for the application of a cast. This service is eligible to be delegated to a trained employee under specific supervision and documentation requirements.$28.80
- Z206Body castApplication of a cast. This is a delegable procedure under specific conditions outlined in <SectionPages>GP62</SectionPages> and <SectionPages>GP63</SectionPages>.$57.50
- Z204Removal of plasterRemoval of plaster, not associated with fractures or dislocations within 2 weeks of initial treatment. This procedure is delegable under conditions outlined in the General Preamble.$10.25
- Z216Wedging of casts other than fracture treatmentApplication of a plaster cast. As a delegated procedure, this service can be performed by a qualified employee in the physician's office under specific conditions outlined in <SectionPages>GP62</SectionPages> and <SectionPages>GP63</SectionPages>.$10.25
- Z291Application Pavlik Harness or DDH SplintA surgical procedure for the application of a Pavlik Harness or Congenital Dislocation of the Hip (C.D.H.) splint, typically for congenital hip conditions in infants.$24.10
- Z873Application of cast braceApplication of a cast. This service is listed as a delegatable procedure, meaning it can be performed by a physician's employee under specific conditions.$67.75
- E584Application of plaster cast outside hospital or ICHSCAn add-on fee for the application of a plaster cast outside of a hospital setting. This must be claimed in addition to the primary fracture or dislocation management service.$11.15
Injections & aspirations
- G370Injection of bursa, or injection and/or aspiration of joint, ganglion or tendon sheath$20.25
- G371Injection or aspiration of additional bursa, joint, ganglion or tendon sheathEach additional bursa, joint, ganglion or tendon sheath injection or aspiration, to a maximum of 5.$19.90
- G328Aspiration of bursa or complex jointThis code represents a diagnostic or therapeutic procedure. Specific details for this service are not available in the provided context.$39.80
- G329Aspiration of bursa or complex joint - each additionalAspiration of bursa or complex joint - each additional, to a maximum of 2$20.25
Amputations
- R608Phalanx, metacarpal or metacarpophalangeal joint amputationA surgical procedure for the amputation of a metacarpal or at the metaphalangeal joint.$269.30
- R612Wrist amputationA surgical procedure for the amputation of the wrist. This procedure is listed under the Hand and Wrist section of the Schedule of Benefits.$289.50
- R613Amputation through radius and ulnaA surgical procedure for the amputation through the radius and ulna of the forearm. This service includes a surgeon's fee and provides base units for anaesthesia and surgical assistant services.$351.05
- R623Symes amputationA Symes amputation, which is a surgical procedure involving disarticulation of the ankle.$285.80
- R624Amputation of tibia/fibulaA surgical procedure for the amputation of the tibia and/or fibula. This service can be performed by a surgeon, with separate billing for assistant and anaesthesia services.$552.70
- R625Gritti-Stokes or Callander amputationSurgical procedure on the cardiovascular system. This code is eligible for surgeon, assistant, and anaesthetist fees.$602.75
- R626Amputation - through femurSurgical amputation through the femur, with fees for surgeon, assistant (6 base units), and anaesthetist (7 base units).$602.80
Add-ons
- E556Extensive debridement of compound fractures or dislocationsAdds a 50% premium to the fee for a reduction of a compound fracture or dislocation to account for extensive debridement.+50%
- E503Intra-articular fracture reduction - each additionalFee payable for the closed reduction of each additional intra-articular fracture of the hand or wrist, when performed in conjunction with `<billingCode>F006</billingCode>`.$26.85
- E561Phalanx fracture - each additionalPayable as an add-on for the closed reduction of each additional phalanx fracture of the foot. This code is used in conjunction with <billingCode>F058</billingCode> for the primary reduction.$14.90
- E578Interphalangeal dislocation - each additionalAdd-on fee for each additional interphalangeal dislocation reduction, payable in conjunction with D027.$10.25
- E575Interphalangeal arthrodesis - each additionalSurgical add-on for each additional interphalangeal arthrodesis performed. This code is intended to be billed in conjunction with the primary procedure, `R471` (Interphalangeal arthrodesis).$80.35
- E587Bone - each additionalAdd-on fee for the excision of each additional metatarsal head, claimed in conjunction with the primary procedure R309A.$80.35
How to use this orthopaedics code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to orthopaedic surgery (specialty 06) — 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 orthopaedics 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 orthopaedic surgery bill?
The consultations & assessments — office section of this set starts with A065 (Consultation). 4 codes are listed in that section.
What is in the Orthopaedic Surgery code set?
136 OHIP billing codes across 14 sections: Consultations & assessments — office; Hospital in-patient; Arthroplasty; Arthroscopy; Shoulder & upper limb; Hand & wrist; Hip & femur; Knee & leg; Foot & ankle; Spine; Casts & splints; Injections & aspirations; Amputations; Add-ons. Orthopaedic consultations and visits, arthroplasty, arthroscopy, fracture fixation by region, hand surgery, foot and ankle, casts, injections and amputations.
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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