-6-

Page Fee Code Description 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

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

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

V3

#S813

Repeat abdominal approach to vaginal vault prolapse - vaginal sacropexy

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.health.gov.on.ca.


Ontario Ministry of Health and Long-Term Care
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