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S032
S032 – Bone graft to palate
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure involves placing a bone graft into the palate. It is listed under the Oral Cavity and Pharynx subsection within the Digestive System surgical procedures.
When to Use
- Use S032 for the surgical placement of an autogenous or allogenic bone graft specifically into the palate for reconstructive purposes.
- Select S032 when performing secondary alveolar bone grafting in patients with cleft palate, ensuring the procedure is distinct from primary soft tissue closure.
Common Pitfalls
- Billing S032 in conjunction with other oral surgical procedures without clear documentation of separate incisions or distinct surgical sites, which may trigger a 'duplicate service' rejection.
- Failing to apply the mandatory age-based percentage premium for patients under 16, which is a common source of underpayment for pediatric cleft palate cases.
- Attempting to bill E420 (Trauma Premium) without explicitly documenting the Injury Severity Score (ISS) in the patient record, as this is a mandatory audit requirement for this code.
Billing Tips
- Always verify if the procedure qualifies for the age-based premium (10% to 30% increase) based on the patient's exact age at the time of service to maximize the surgeon's fee.
- When assisting, ensure the assistant uses the correct suffix B and applies the appropriate after-hours premium (E400B or E401B) based on the exact start time of the procedure.
Provider Fee$335.65
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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