What is OHIP billing code S047?

S047 is "Parotid gland - repeat subtotal (with preservation of facial nerve)", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S047 pay?

The current OHIP fee for S047 is $774.50, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S047 to OHIP?

S047 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S047 claims against the Schedule of Benefits rules before submission.

What codes are related to S047?

Codes related to S047 in the Schedule of Benefits include S042, S043, S044, S045, Z522.

All codes

S047

S047 – Parotid gland - repeat subtotal (with preservation of facial nerve)

OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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S047 is a surgical procedure for the repeat subtotal excision of the parotid gland. This service is performed on a patient who has previously undergone a similar surgery and requires further removal of glandular tissue, with care taken to preserve the facial nerve. This service has assigned basic units for both the surgical assistant (6 units) and the anaesthesiologist (10 units). Time units are added based on the duration of the service.

When to Use

Use S047 specifically for a repeat subtotal parotidectomy where previous surgical scarring necessitates complex dissection to preserve the facial nerve.
Do not use S047 for primary parotidectomies; use S042, S043, S044, or S045 depending on the extent of the primary procedure.
Use S047 when the surgical record explicitly confirms the preservation of the facial nerve during the repeat intervention.

Common Pitfalls

Billing S047 alongside other surgical procedures performed under the same anaesthetic will lead to rejection of assistant and anaesthetist basic units for the secondary procedure.
Attempting to bill for a second surgical assistant without prior written authorization from a medical consultant will result in automatic denial, as S047 is not on the pre-approved list.
Failing to document the 'repeat' nature of the procedure in the operative report can lead to audit scrutiny if the claim is flagged for review against primary parotidectomy codes.

Billing Tips

Ensure the operative report clearly details the previous surgical history and the technical challenges of the repeat dissection to justify the use of S047 over standard excision codes.
When calculating total anaesthesia units, remember to combine the 10 basic units for S047 with applicable patient-specific modifiers like E022C (ASA III) or E010C (BMI > 40).

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Provider Fee$774.50

Surgical Assistant Fee$75.06

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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