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OHIP Billing Codes for Surgical Procedures Appendix

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Appendix A: Definition of Adenocarcinoma of the Colon (ICD-0-3)

Case-Finding Criteria* Eligible Codes

ICD-0-3 Topography Code and

ICD-0-3 Histology Code

C18.0, C18.2-C18.9

8140, 8210-8221, 8260-8263, 8470-8490

*Eligible cases of adenocarcinoma of the colon required a topography code corresponding to the colon and a histology code corresponding to adenocarcinoma

Appendix B: OHIP Billing Codes for Surgical Procedures

Procedure Fee Code

Right Hemicolectomy S166

Laparoscopy or Laparoscopic-Assistance E793, E860

Appendix C: Administrative data codes for post-operative complications

Outcome Codes Data Source

Major post-operative adverse events

Myocardial infarction I21x-I23x

CIHI-DAD

Stroke I60x-I64x, G45x

Acute kidney injury N17x, N990

Respiratory failure J952, J953, J96x, J80x

Pneumonia J12x-J18x, J690, W78, W79

Pulmonary embolism I26x

Deep vein thrombosis I801-I803, I808, I809, I81x, I822m I823, I828, I829, O223, O871,

Cardiopulmonary arrest I46x, I472, I4900, R092x

Shock R57x, T811

Sepsis A40x, A41x

Procedure related

complication (intra-abdominal abscess, intestinal

perforation, intestinal fistula/persistent

postoperative fistula, and peritonitis)

K630-K632, K65x, T8182

Non-operative interventions Endoscopic procedures (Gastrointestinal and Genitourinary)

S470, S547, Z399, Z400, Z491, Z494, Z495, Z496, Z497, Z498, Z499, Z512, Z513, Z514, Z515, Z527, Z528, Z532, Z536, Z547, Z555, Z558, Z560, Z561, Z570, Z571, Z584, Z592, Z606, Z607, Z612, Z617, Z618, Z628, Z632, Z633, Z634, Z638, Z749, Z760, Z764, Z765

OHIP

Image-guided procedures

(excluding angiography) E686, J013, J046, J055, J061, J062, J063, Z591, Z594, Z595,Z623, Z624, Z629

Angiographic interventions J021, J022, J023, J040, J047, J057, J058, Operative re-interventions

Case-finding Anesthesia billing code (suffix ‘C’) + Manual review of corresponding procedure billing code to confirm operation

OHIP  

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