What is OHIP billing code S015?

S015 is "Complex reconstruction or revision of previous repair and excision", an OHIP Digestive System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How do I bill S015 to OHIP?

S015 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S015 claims against the Schedule of Benefits rules before submission.

What codes are related to S015?

Codes related to S015 in the Schedule of Benefits include S013, S014, M030, M031, M032.

All codes

S015

S015 – Complex reconstruction or revision of previous repair and excision

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

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Complex reconstruction or revision of a previous repair and excision. As this service is designated for Independent Consideration (IC), the fee is not listed and must be assessed by a medical consultant. Claims for S015 must be submitted with a supporting letter explaining the amount of the fee claimed, an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule. See for full IC requirements.

Claims for services listed as Independent Consideration (IC) must be submitted with a supporting letter explaining the amount of the fee claimed, and must include an appropriate operative or consultation report, and a comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.

S013 S014 M030 M031 M032

Cleft lip reconstruction (S013, S014, S015) is not eligible for payment with M030, M031 or M032.

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