S018 – Partial glossectomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Partial glossectomy involves the surgical removal of a portion of the tongue. This procedure is listed under the Digestive System surgical procedures for the oral cavity and pharynx. The service fee includes the surgeon's work (<suffix>A</suffix>), and separate unit-based fees are applicable for a surgical assistant (<suffix>B</suffix>) and an anaesthesiologist (<suffix>C</suffix>). The assistant's fee is calculated based on 6 base units plus time units. The anaesthetist's fee is based on 8 base units plus time units. The '#' prefix indicates that when this service is performed in a hospital or an Integrated Community Health Services Centre (ICHSC), the premises, equipment, supplies, and personnel are funded by the facility and cannot be charged to the patient.
When to Use
- Use S018 for the surgical excision of a localized tongue lesion or partial resection where the procedure does not meet the criteria for more extensive radical glossectomy codes.
- Use S018 when performing a partial glossectomy involving the tongue base or lateral borders, noting that the code scope includes the nasopharynx, oropharynx, and hypopharynx unless otherwise specified.
Common Pitfalls
- Attempting to bill a second surgical assistant without prior authorization; S018 is not on the pre-approved list, and a formal letter from the surgeon is mandatory for approval.
- Failing to include the Injury Severity Score (ISS) in the medical record when attempting to claim the E420 trauma premium, which leads to automatic claim rejection.
Billing Tips
- Ensure that if the procedure is performed after hours, you apply the correct premium (E409 for evenings or E410 for nights) to the surgical fee, as these are mutually exclusive with other special visit premiums.
- When billing for the surgical assistant, remember that the base fee is 6 units plus time; always verify if the case qualifies for the E400B or E401B after-hours assistant premiums based on the exact start time.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
To include nasopharynx, oropharynx, hypopharynx except where otherwise specified.
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