S023 – Extraction of tooth - single
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service covers the complete care for the surgical extraction of a single tooth. It is listed under the Digestive System Surgical Procedures section. For each additional tooth extracted during the same surgical session, the add-on code E700 should be used. As a surgical procedure, it includes all common elements outlined in the General Preamble (-), as well as specific elements for surgical assistance () and anaesthesia () when applicable.
When to Use
- Use S023 for the first tooth extracted during a surgical session, regardless of the complexity of the extraction.
- Use S023 for surgical extractions performed in a hospital or clinic setting where the provider is billing under the Digestive System Surgical Procedures section.
Common Pitfalls
- Do not bill S023 multiple times for multiple teeth; use E700 for every tooth extracted after the first one.
- Avoid billing S023 if the service is performed by a dentist or oral surgeon under the dental fee schedule, as S900 is the appropriate reference for those providers.
- Failure to document the specific necessity for a surgical assistant when attempting to claim assistant fees for S023, which requires prior authorization and M400B submission.
Billing Tips
- Always ensure the primary extraction is coded as S023 to trigger the eligibility for E700 add-on codes on the same claim.
- If the patient qualifies for age-based surgical premiums, ensure these are applied to the S023 base fee to maximize the procedural reimbursement.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
For anaesthesia with any unlisted dental surgical procedure performed by a dental or oral surgeon, see S900 (see , also Bulletin #4203).
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