What is OHIP billing code S081?

S081 is "Trans-oesophageal division of oesophageal varices", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S081 pay?

The current OHIP fee for S081 is $558.05, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S081 to OHIP?

S081 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S081 claims against the Schedule of Benefits rules before submission.

All codes

S081

S081 – Trans-oesophageal division of oesophageal varices

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

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Trans-oesophageal division of oesophageal varices is a surgical procedure listed under the Digestive System section of the Schedule of Benefits. The anaesthesia service is payable on an Independent Consideration basis, calculated by adding time units to the basic units of a comparable procedure as per . Surgical assistant services are not listed with specific units and are only eligible for payment upon authorization by a medical consultant following submission of a letter from the surgeon outlining the reason the assistant was required. Submit claims for this type of service using fee code M400B, as per .

When to Use

Use S081 for the definitive surgical division of oesophageal varices when endoscopic management is not indicated or has failed.
Select S081 over endoscopic banding or sclerotherapy codes when the procedure involves an open or trans-oesophageal surgical approach.

Common Pitfalls

Billing for a surgical assistant without prior authorization from a medical consultant will result in an automatic rejection.
Failure to submit the required letter from the surgeon detailing the necessity of an assistant will prevent payment for M400B.
Incorrectly billing anaesthesia as a flat fee instead of calculating it on an Independent Consideration basis using basic units plus time units as per GP93.

Billing Tips

Ensure the surgeon's letter justifying the surgical assistant is submitted promptly to the Ministry to avoid delays in M400B processing.
When calculating anaesthesia, use the basic units of a comparable procedure and ensure time units are clearly documented to support the Independent Consideration claim.

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Provider Fee$558.05

Effective: April 1, 2025

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