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S035
S035 – Removal of sutures under general anaesthesia
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S035 is for the removal of sutures under general anaesthesia. This is a surgical procedure listed under the Oral Cavity and Pharynx section of the Schedule of Benefits.
When to Use
- Use S035 specifically for the removal of sutures in the oral cavity or pharynx when the procedure cannot be safely performed under local anaesthesia and requires general anaesthesia.
- Select S035 when the patient's clinical status or the complexity of the suture site necessitates a general anaesthetic, distinguishing it from routine office-based suture removal.
Common Pitfalls
- Billing S035 without explicit documentation of the requirement for general anaesthesia will lead to rejection, as the code is strictly tied to this setting.
- Attempting to bill S035 in conjunction with other oral surgery codes without checking for global period exclusions can result in claim denials for duplicate services.
Billing Tips
- Ensure that if the procedure is performed after hours, you append the appropriate premium (E409 or E410) to maximize the procedural fee, provided you are not an Emergency Department Physician.
- If the patient is under 30 days of age, always apply the 30% age-based premium to the base fee of $41.25 to ensure accurate compensation.
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