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S007
S007 – Extended composite resection of lesion of oral cavity and oropharynx with partial resection of mandible and resection of maxilla
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Extended composite resection of lesion of oral cavity and oropharynx with partial resection of mandible and resection of maxilla.
When to Use
- Use S007 when performing a composite resection that explicitly involves both a partial mandibulectomy and a maxillectomy for oral cavity or oropharyngeal malignancy.
- Select S007 over S005 when the surgical scope extends beyond simple oral cavity resection to include the structural bone resection of both the mandible and maxilla.
Common Pitfalls
- Billing S007 in conjunction with other site-specific oral cavity resection codes is often flagged as unbundling; ensure the procedure meets the 'extended composite' definition to avoid rejection.
- Failure to document the specific extent of the mandibular and maxillary involvement can lead to audit recovery if the procedure is downgraded to a less complex resection code.
Billing Tips
- Ensure the Injury Severity Score (ISS) is clearly documented in the chart if claiming the E420 trauma premium for emergent cases, as this is a frequent audit trigger for high-value surgical codes.
Provider Fee$0.00
Specialist Fee$1,059.45
Surgical Assistant Fee$125.10
Anaesthetist Fee$185.88
Non-Anaesthetist Fee$185.88
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
To include nasopharynx, oropharynx, hypopharynx except where otherwise specified.
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