What is OHIP billing code S021?

S021 is "Repair of extensive laceration", an OHIP Digestive System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How do I bill S021 to OHIP?

S021 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S021 claims against the Schedule of Benefits rules before submission.

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S021

S021 – Repair of extensive laceration

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

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Oral cavity and pharynx: repair of extensive laceration (see General Preamble ). Surgeon and anaesthesia fees are I.C (independent consideration); assistant 6 units. For minor lacerations - see Skin.

For Independent Consideration (IC) claims, 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 must be submitted.

For the Trauma Premium (E420), the medical record must list the Injury Severity Score (ISS).

For minor lacerations - see Skin.

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