All codes
P036
P036 – Repair of vaginal laceration
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
This service is for the repair of a vaginal laceration. It is listed under the 'REFERRED SERVICES - WHEN ONLY SERVICES(S) RRENDERED' section, indicating it is typically billed when this is the specific service performed, such as by a physician called in for this repair, separate from the delivery service.
When to Use
- Use P036 when a physician is called in specifically to repair a vaginal laceration that is separate from the primary delivery service performed by another provider.
- Use P036 for the repair of complex vaginal lacerations that occur independently of the delivery event, provided they do not involve the perianal sphincter (third-degree tear).
Common Pitfalls
- Billing P036 for a standard episiotomy or minor tear repair is a common rejection, as these are considered bundled into the global delivery fee (P006 or P020).
- Attempting to bill P036 with suffix B for an assistant is incorrect; you must use M400B for independent consideration by a medical consultant.
Billing Tips
- Ensure the clinical notes clearly distinguish the P036 repair from the delivery event to justify why this is not included in the global obstetrical fee.
- If the repair occurs during unsociable hours, apply the appropriate non-elective surgical premium (E409A or E410A) to the P036 fee to maximize reimbursement.
Provider Fee$54.40
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
K. Obstetrics
Subcategory
OBSTETRICS
Service Type
Surgical
Code Classes
Obstetrics, Female Genital Surgical Procedures
Referral RequiredFrom: Physician, NursePractitioner, DentalSurgeon
Sex Restriction
Female
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.