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Changes to the Schedule of Benefits and Related Changes
Effective April 1, 2002


Page
Fee Code
Description
Fee
Fee
N - New

R - Revised
D - Deleted
S4 #Z567 Esophagoscopy - subsequent procedure within 3 months after initial Z515 endoscopic procedure   D
S4 #Z568 Esophagoscopy-gastroscopy, subsequent procedure within 3 months after Z399 or Z400   D
S9 N E785 Endoscopy of sigmoid to descending colon - multiple screening biopsies >34 sites for malignant changes in ulcerative colitis, ...add 53.20 N
T4 #E820 Cystoscopy and diagnostic ureteroscopy with biopsy of one or more sites in ureter and/or renal, pelvis using ureteroscope, and 48.75 N
T4 #Z640 Resection and fulgurization of ureteral or renal tumours with or without cystoscopy 266.00 N
T6 Preamble Bladder Preamble Bladder operations - E codes payable with S codes or Z codes under the "Bladder" subheading"   R
U3 S626 Vasectomy - uni or bilateral by any technique   R
U4 #S653 Laparoscopic radical prostatectomy 1064.60 N
V1 #E854 Ureterolysis 106.45 N
V3 #S812 Repeat post-hysterectomy vault prolapse - vaginal approach 444.80 N
V6 #E861 Paracervical block - add-on for unilateral or bilateral payable in addition to endometrial sampling in office 8.80 N
V7 #S762 Hysterectomy, radical trachelectomy - add "excluding node dissection"   R
V8 #S743 Fallopian tube - repair of extensive unilateral or bilateral & peritubal disease - laparotomy   R
V8 #S746 Fallopian tube - repair of extensive unilateral or bilateral & peritubal disease - laproscopic technique 755.65 N
V9 #S750 Radical resection of pelvic & para-aortic nodes for cancer   R
X1 #E921 Repeat cranial procedure applies to N111   R
X3 #N124 Functional stereotaxy 1520.80 N
X7 #N316 Stereotactic spinal operative procedure 1055.55 N
X7 #E900 Spinal - Tumors - repeat total or partial removal 211.15 N
Y2 Z871, #Z853 Cornea ulcer cautery   R (2)
Y8 #Z917 Lacrimal tract incision - three snip punctum procedure - increase maximum # of services to 4   R

Payment

The April 1 changes to the Schedule of Benefits will be applied automatically to all claim submissions for services provided on or after April 1, 2002.

To assist with updating OHIP billing software, Ministry District Offices will send a copy of the new Fee Schedule Master to physicians with the May Remittance Advice. Note: there are new fee codes that have a "U" prefix. Please update your billing software to accept "U" prefix fee codes.

Communication

Bulletins and the updated version of the Schedule are available on the Ministry of Health and Long-Term Care web site www.gov.on.ca/health/.

Ontario Ministry of Health and Long-Term Care
© 2002 Queen's Printer for Ontario  |  Last Modified:  06/15/2009 09:51:30