S075 – Abdominal approach
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S075 is a procedural code that establishes the basic units for calculating anaesthesiologist and surgical assistant fees for procedures on the oesophagus performed via an abdominal approach. This code is used when a specific oesophageal procedure does not have its own listed basic units. The anaesthesiologist fee is calculated using 8 basic units plus time units. The surgical assistant fee is calculated using 7 basic units plus time units.
When to Use
- Use S075 as the default basic unit code for abdominal oesophageal procedures that lack a specific, assigned procedural fee in the Schedule of Benefits.
- Apply S075 when performing abdominal-approach oesophageal surgeries where the complexity does not align with the specific basic unit assignments of S073 or S074.
Common Pitfalls
- Billing S075 when a specific procedural code with its own defined basic units already exists, which will trigger a rejection for incorrect code selection.
- Failing to differentiate between the anaesthesiologist's 8 basic units and the surgical assistant's 7 basic units, leading to incorrect unit submission on the claim.
- Attempting to bill S075 for thoracic-approach oesophageal procedures, which are governed by different basic unit codes.
Billing Tips
- Ensure the claim clearly indicates the abdominal approach to justify the use of S075 over other oesophageal procedural codes.
- Always verify if the specific surgery has a listed basic fee in the Schedule of Benefits before defaulting to S075, as specific codes always supersede this general procedural code.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
For procedures on the oesophagus, the following basic units for assistants and anaesthesiologists will apply except if a basic fee is listed.
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