Family psychotherapy - out-patients (2 or more family members)




Family psychotherapy - in-patients (2 or more family members)



Respiratory Procedures


Transbronchial needle aspiration (TBNA) of mediastinal and/or hilar lymph nodes, add to bronchoscopy




Transbronchial needle aspiration (TBNA) of lung mass, add to bronchoscopy.




Nose, Endoscopy:  Examination under anesthesia (EUA) of nose including suction cautery for posterior epistaxis, unilateral or bilateral (6 anesthetic base units)




Nose, Endoscopy:  Excision of middle turbinate concha bullosa - unilateral (4 anesthetic base units)



Special Sense / Eyelids


If excision is performed in hospital for tumour free margin with frozen section, to excision or repair fees, add.  Note: E977 is payable only in addition to codes E222, E223, E225, E226, E227, E228 and E229.



Surgical - miscellaneous


Morbidly Obese Patient. Body mass index (BMI) > 45 - applies to open procedures through incision into body cavity or major neck surgery, under general anesthesia. Add to major procedure. BMI must be recorded in patient record.




External Ear:  Endoscopy:  Removal of foreign body - simple.  Note:  Claimed solely for removal of cerumen is payable at nil.




-          complicated - general anesthetic





Bladder, Endoscopy - Cystoscopy:  With periurethral injection of collagen or polytetrafluoroethylene (PTFE), add




Cystotomy with trochar and cannula and insertion of tube (5 anesthetic base units)




Cystotomy with trochar and cannula and insertion of tube




Filiform & follower urethral dilation under general anesthetic, and may include bladder catheterization (4 anesthetic base units). Note:  Z619, Z620, Z621, Z622 payable at nil if claimed with Z615.




Stereotactic prostate brachytherapy (5 assistant / 6 anesthetic base units)



 2.    Community Medicine Specialty Codes

 Effective April 1, 2000, the Ministry introduced a new specialty billing code (05) for specialists certified in community medicine, and added community medicine fee codes to the Schedule of Benefits. See Bulletin 4357, July 19, 2000. At that time, Community Medicine specialists were advised that they could continue to submit claims using fee codes for Internal Medicine (13) during a transition period ending December 31, 2000. The Ministry has extended the transition period during which community medicine specialists submit claims using either the Community Medicine code (05) or the Internal Medicine code (13) until further notice pending agreement between the OMA and MOHLTC on payment for community medicine specialists.


 Bulletins and the updated version of the Schedule may be seen on the Ministry of Health and Long-Term Care web site www.health.gov.on.ca.

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