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S059
S059 – Branchial cleft lesion - repeat procedure
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This is a repeat surgical procedure for a branchial cleft lesion. The primary procedure is S058 - branchial cleft lesion. This service is listed in the Digestive System Surgical Procedures section of the Schedule.
When to Use
- Use S059 specifically for the surgical excision of a recurrent branchial cleft lesion where a previous excision (S058) has already been performed.
- Apply this code when the clinical documentation confirms the procedure is a re-operation for a persistent or recurring lesion at the same anatomical site.
Common Pitfalls
- Billing S059 as a primary procedure when the patient has no history of a prior branchial cleft excision will lead to automatic rejection or audit recovery.
- Failing to include the original procedure date or clinical justification for the repeat surgery in the claim notes often triggers manual review.
Billing Tips
- Ensure the operative report clearly distinguishes the repeat nature of the surgery from the initial S058 procedure to justify the higher complexity often associated with revision surgery.
Provider Fee$435.30
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% 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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