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E748 – Panniculectomy with repair of umbilical hernia

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

This is an add-on code for the repair of an umbilical hernia, intended to be billed in addition to S318 (Panniculectomy). The eligibility for this service is contingent upon the primary panniculectomy procedure meeting the insurance criteria outlined in Appendix D of the Schedule, which includes a requirement for prior authorization from the Ministry of Health (MOH).
Pre-authorization required

Panniculectomy is only insured in those circumstances described in Appendix D of this Schedule. Prior authorization of payment from the MOH is required.

S318 is not eligible for payment when performed in conjunction with abdominal or pelvic procedures unless the payment requirements for panniculectomy are separately fulfilled.

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