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S067
S067 – Partial pharyngectomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Partial pharyngectomy - transthyroid or lateral is a surgical procedure to remove a portion of the pharynx. This procedure is typically performed in a hospital setting under general anaesthesia.
When to Use
- Use S067 for a partial pharyngectomy performed via a transthyroid or lateral approach when the procedure is limited to a portion of the pharynx.
- Select S067 when the surgical intent is a localized resection, as opposed to a total pharyngectomy or more extensive radical neck procedures that would require different coding.
Common Pitfalls
- Billing S067 in conjunction with other major head and neck procedures without ensuring the surgical approach and extent are distinct, which may trigger a claim rejection for unbundling.
- Failing to document the specific extent of the pharyngeal tissue removed, which is necessary to justify S067 over less invasive pharyngeal procedures.
Billing Tips
- Ensure that if the procedure is performed on an emergency basis after hours, the appropriate E409 or E410 premium is applied to the S067 fee to maximize the claim value.
Provider Fee$1,017.20
Surgical Assistant Fee$100.08
Anaesthetist Fee$170.39
Non-Anaesthetist Fee$170.39
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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