Star any of these codes and bill them in one tap with SnapBill
All code sets
Surgical specialties & anaesthesia
General Thoracic Surgery OHIP billing codes
Thoracic surgery consultations and visits, lung resection, pleural and chest wall procedures, mediastinal staging and oesophageal surgery.
51 codes in 7 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 64 is in the full Thoracic Surgery listing.
Consultations & assessments — office
- A645Medical Specific Assessment - General Thoracic SurgeryConsultation - General Thoracic Surgery—
- A643Specific Assessment - General Thoracic Surgery—
- A644Partial Assessment - General Thoracic SurgeryPartial assessment—
- A646Specific Re-Assessment - General Thoracic SurgeryRepeat consultation - General Thoracic Surgery—
Hospital in-patient
- C645ConsultationA specialist surgical procedure from the General Thoracic Surgery section performed on a non-emergency basis for an acute care hospital in-patient.—
- C646Repeat consultationA specific assessment by a specialist in General Thoracic Surgery for a non-emergency acute care hospital in-patient, requiring a detailed history of the presenting complaint and a thorough examination of the relevant body systems.—
- C642Subsequent Visit (General Thoracic Surgery)A routine assessment of an in-patient in an acute care hospital by a specialist in General Thoracic Surgery, following the initial admission assessment.—
- C644Specific Re-Assessment - General Thoracic SurgeryA specific re-assessment for a hospital in-patient by a General Thoracic Surgery specialist, typically performed as a routine subsequent visit following admission.—
- C648Subsequent Visit - General Thoracic SurgeryA routine subsequent visit to an acute care hospital in-patient by a specialist in General Thoracic Surgery.—
- C649Partial Assessment - General Thoracic SurgeryA subsequent visit after the thirteenth week, with a maximum of 6 per patient per month.—
- C647Long-term care in-patient visitA routine assessment of a hospital in-patient by a specialist in General Thoracic Surgery, specifically for the sixth to thirteenth week inclusive of hospitalization, with a maximum of 3 visits per patient per week.—
Lung resection
- M143LobectomySurgical removal of a lobe of the lung, which may include the removal of nearby lymph nodes. This procedure can be performed via open thoracotomy or minimally invasive techniques.$1753.25
- M144Segmental resection, including segmental bronchus and arterySurgical removal of a segment of the lung, including the corresponding segmental bronchus and artery. This procedure can be performed via open thoracotomy or minimally invasive techniques.$1802.20
- M145Wedge resection of lungSurgical procedure for the wedge resection of a lung. This code covers the surgical procedure itself, with specific allowances for assistant and anaesthesia services. Additional fees apply for thoracoscopic approaches and complex patient factors.$1054.25
- M142PneumonectomySurgical removal of a lung (pneumonectomy), which may also include the dissection of mediastinal lymph nodes, lymph node sampling, or resection of the pericardium with repair.$2125.00
- E616Bi-lobectomy on right side or segmentectomy plus lobectomyThis is an add-on fee payable in addition to a primary lung excision procedure when a bi-lobectomy is performed on the right side.$305.50
- E619Sleeve lobectomyAdd-on to a lung excision procedure for the performance of a sleeve lobectomy.$162.45
- E613Sleeve pneumonectomyThis is an add-on fee payable to the surgeon for performing a sleeve pneumonectomy, to be claimed in addition to the fee for the primary M-prefix lung excision procedure.$500.00
- E612Total extra-pleural pneumonectomyAdd-on fee for a total extra-pleural pneumonectomy, claimed in conjunction with a primary lung excision procedure.$338.35
- E621Diagnostic wedge resectionThis is an add-on fee for a diagnostic wedge resection when performed concurrently with a primary lung excision procedure.$45.85
- E644Radical mediastinal node dissectionAn add-on to specific lung or oesophageal resections for radical mediastinal node dissection performed following preoperative chemotherapy and/or radiotherapy.$400.00
- M155Lung transplant (one lung)Surgical procedure for a single lung transplant. The fee is for the surgeon's service and includes specific pre- and post-operative care. Assistant and anaesthesia services are billed separately based on units.$2773.25
Pleura, chest wall & diaphragm
- M149Pleurectomy, and/or apical bullectomy for pneumothoraxSurgical procedure for pneumothorax involving the removal of the pleura (pleurectomy) and/or the removal of bullae from the apex of the lung (apical bullectomy).$525.00
- M151Bullectomy for major bullous diseaseSurgical removal of a large, air-filled space (bulla) from the lung for major bullous disease. This is a surgical procedure billable by the surgeon, assistant, and anaesthetist.$725.00
- Z335Thoracoscopy (pleuroscopy)A surgical procedure involving endoscopic examination of the pleural space (thoracoscopy/pleuroscopy), which may include pleural biopsy or suction.$242.35
- Z341Tube thoracostomy for closed drainage (chest tube)A surgical procedure for the insertion of a chest tube for closed drainage, typically to remove air or fluid from the pleural space.$76.80
- Z363Removal of thoracostomy tube (chest tube)Surgical removal of a thoracostomy (chest) tube. This procedure is not payable on the same day as the insertion of a chest tube (<billingCode>Z341</billingCode>).$20.00
- M116Chest wall - fixation for traumaSurgical fixation of the chest wall for trauma. This procedure includes the repair of up to four ribs, with an additional code available for each extra rib fixed.$550.00
- E601Additional rib resectionAn add-on fee for the surgeon for the excision of each additional rib beyond the initial three during a chest wall tumour resection, billed in conjunction with `<billingCode>M105</billingCode>`. This is limited to a maximum of three additional ribs.$57.50
- Z353Incisional biopsy of chest wall tumourSurgical removal of a piece of a chest wall tumour for diagnostic purposes. This is an Independent Operative Procedure (IOP) with specific rules for billing same-day assessments as per <SectionPages>SP4</SectionPages>.$110.90
- E617Pleural tentThis is an add-on fee for performing a pleural tent procedure in conjunction with a primary lung excision surgery.$78.80
- E611Resection of diaphragm and direct suture closureThis is an add-on fee for the resection of the diaphragm with direct suture closure, which is performed in conjunction with a primary lung excision procedure.$145.00
- E849Resection of diaphragm and reconstruction requiring repair with mesh or equivalent synthetic materialAdd-on to a primary lung or pleural excision for the resection of the diaphragm and reconstruction with mesh or equivalent synthetic material.$220.00
- E609Closure of broncho-pleural fistula with intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat padSurgical premium added when performing closure of a broncho-pleural fistula (`<billingCode>M130</billingCode>`) or pneumonectomy (`<billingCode>M142</billingCode>`) with reinforcement using an intercostal muscle bundle, pericardium, Azygos vein, or pericardial fat pad.$121.70
- E610Closure of broncho-pleural fistula with myovascular flapAdd-on fee for using a myovascular flap (e.g., pectoralis major, latissimus dorsi, rectus abdominus) when performing a closure of a broncho-pleural fistula (<billingCode>M130</billingCode>).$263.80
Mediastinum & airway
- Z328Mediastinoscopy with mediastinotomyThis is an independent operative endoscopic procedure of the mediastinum that includes a mediastinotomy.$475.80
- Z330Mediastinoscopy with bronchoscopyA surgical procedure for mediastinoscopy that includes a bronchoscopy. As an Independent Operative Procedure (IOP), it is subject to specific pre- and post-operative billing rules.$490.00
- Z348Mediastinoscopy - with bronchoscopy and mediastinotomyA surgical procedure involving an endoscopic examination of the mediastinum that also includes a bronchoscopy and mediastinotomy.$605.85
- E677Transbronchial needle aspiration of mediastinal and/or hilar lymph nodesAn add-on to bronchoscopy (`Z327`) for performing transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes. This procedure must be billed in conjunction with the primary bronchoscopy service.$104.00
- Z327Bronchoscopy, flexible or rigidA surgical procedure for flexible or rigid bronchoscopy, which may include bronchial biopsy, suction, or injection of contrast material. This service is an Independent Operative Procedure (IOP) and is subject to specific rules regarding pre-operative assessments and billing with other procedures.$124.90
- Z360Emergency rigid bronchoscopy for obstructed airwayPerforms an emergency rigid bronchoscopy for a patient with a life-threatening obstructed airway. This procedure is only payable when the patient is not intubated and is not billed with other critical care or bronchoscopy services on the same day by the same physician.$474.65
- M104Carinal resection (without pulmonary resection)A surgical procedure for the excision of the carina (the ridge at the base of the trachea) without the removal of lung tissue.$825.40
- M137Thoracotomy with or without biopsyA surgical procedure involving an incision into the pleural space of the chest (thoracotomy), which may or may not include taking a tissue sample (biopsy). This procedure is applicable for both respiratory and cardiovascular conditions.$390.65
Oesophagus
- S090Total thoracic oesophageal resectionSurgical procedure for the total resection of the thoracic oesophagus. This service may be billed with add-on codes for reconstruction or minimally invasive approaches.$1912.30
- S099Oesophageal bypass, abdomen to neck - with colon or jejunumA surgical procedure for oesophageal bypass from the abdomen to the neck, using a segment of the colon or jejunum as a conduit.$1264.05
- S087Intrathoracic diverticulumSurgical excision of a diverticulum (outpouching) of the oesophagus located within the thoracic cavity.$507.00
- S088Cricopharyngeal diverticulumSurgical excision of a cricopharyngeal diverticulum, a pouch that forms in the throat. This procedure falls under digestive system surgeries.$390.05
- S091Oesophageal hiatus hernia - abdominal or transthoracic approach with fundal plicationSurgical repair of an oesophageal hiatus hernia using an abdominal or transthoracic approach, including fundal plication.$750.00
- S079Massive paraesophageal hernia repairSurgical repair of a massive paraesophageal hernia, defined as having over 50% intrathoracic herniation of the stomach or herniation of the stomach with other abdominal organs through the crus.$1200.00
Long-term care
- W645Consultation - Non-Emergency Long-Term Care In-Patient ServicesA consultation provided by a General Thoracic Surgery specialist for a non-emergency patient in a Long-Term Care Institution, requiring a written referral.—
- W646Repeat consultation - Non-Emergency Long-Term Care In-Patient ServicesA repeat consultation by a General Thoracic Surgery specialist for a non-emergency patient in a long-term care facility, such as a nursing home or chronic care hospital. This service requires a new written request from a referring practitioner for the same presenting problem.—
How to use this thoracic code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to thoracic surgery (specialty 64) — 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 thoracic 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 general thoracic surgery bill?
The consultations & assessments — office section of this set starts with A645 (Medical Specific Assessment - General Thoracic Surgery). 4 codes are listed in that section.
What is in the General Thoracic Surgery code set?
51 OHIP billing codes across 7 sections: Consultations & assessments — office; Hospital in-patient; Lung resection; Pleura, chest wall & diaphragm; Mediastinum & airway; Oesophagus; Long-term care. Thoracic surgery consultations and visits, lung resection, pleural and chest wall procedures, mediastinal staging and oesophageal surgery.
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.
More surgical specialties & anaesthesia
Bill thoracic codes without looking them up
SnapBill keeps your favourites one tap away, checks each claim against the Schedule, and submits to OHIP for you.