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S068
S068 – Pharyngo-laryngectomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Pharyngo-laryngectomy is a surgical procedure involving the removal of the pharynx and larynx. It is eligible for assistant and anaesthesia services. This procedure can be billed with additional codes for a concurrent thyroidectomy: E882 for hemithyroidectomy, E883 for subtotal thyroidectomy, or E884 for total thyroidectomy.
When to Use
- Use S068 as the primary procedure code when performing a radical resection involving both the pharynx and larynx for malignancy.
- Select S068 instead of M081 (Total Laryngectomy) when the surgical scope extends beyond the larynx to include pharyngeal resection.
Common Pitfalls
- Failure to append the correct thyroidectomy add-on (E882, E883, or E884) when the thyroid is resected, resulting in under-billing for the full scope of the procedure.
- Attempting to bill a second surgical assistant without prior authorization, as S068 is not on the pre-approved list for dual assistance.
Billing Tips
- Ensure the appropriate thyroidectomy add-on is submitted on the same claim as S068 to capture the full procedural value.
- When billing for the surgical assistant (suffix B) or anaesthesiologist (suffix C), ensure the claim reflects the correct base units (8 for assistant, 14 for anaesthesia) plus applicable time units.
Provider Fee$1,155.45
Surgical Assistant Fee$100.08
Anaesthetist Fee$216.86
Non-Anaesthetist Fee$216.86
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
Assistant (Asst) base units: 8
Anaesthesia (Anae) base units: 14
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