E727 – Hydrocele - extra - applicable to adults only
OHIP Surgical Assists Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
E727 is an add-on code for the repair of a hydrocele. It is specified as 'hydrocele - extra' and is only applicable to adult patients. This fee is claimed in addition to the primary surgical procedure being performed, such as a hernia repair.
When to Use
- Use E727 as an add-on when performing a hydrocele repair concurrently with a primary procedure like an inguinal hernia repair (S322 or S323).
- Use E727 when addressing a hydrocele during a scrotal exploration or other primary scrotal surgical procedure where the hydrocele repair is not the primary billing code.
Common Pitfalls
- Billing E727 as a standalone procedure; it is strictly an add-on code and will be rejected if submitted without a primary surgical procedure code.
- Attempting to bill E727 for pediatric patients; the code is strictly restricted to patients aged 18 and older.
- Confusing E727 with primary hydrocele repair codes; ensure the primary procedure is billed under the appropriate surgical section code (e.g., S326) and E727 is added to capture the additional work.
Billing Tips
- Always link E727 to the primary surgical procedure on the same claim to ensure the Ministry recognizes the secondary nature of the service.
- Ensure the primary procedure code is correctly identified, as E727 is specifically designed to supplement the fee for the primary surgical intervention.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Other
Other Premiums (including After Hours Procedure Premiums), Digestive System Surgical Procedures
Applicable to adults only
hydrocele - extra - applicable to adults only
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