What is OHIP billing code S084?

S084 is "Oesophagostomy, Cervical - other than neonatal", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S084 pay?

The current OHIP fee for S084 is $212.35, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S084 to OHIP?

S084 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S084 claims against the Schedule of Benefits rules before submission.

What codes are related to S084?

Codes related to S084 in the Schedule of Benefits include S085.

All codes

S084

S084 – Oesophagostomy, Cervical - other than neonatal

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

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S084 is for a cervical oesophagostomy, a surgical procedure to create an opening into the esophagus from the neck. This code applies to patients who are not neonates. For neonatal patients (birth to 28 days), see billing code S085.

When to Use

Use S084 for the creation of a cervical oesophagostomy in patients aged 29 days or older, ensuring the patient is not a neonate.
Select S084 when performing a surgical opening into the esophagus from the neck for long-term enteral access or diversion, provided the patient does not meet the neonatal criteria for S085.

Common Pitfalls

Billing S084 for a patient aged 28 days or younger will result in an automatic rejection; use S085 for neonates.
Assuming an assistant fee is automatically payable; because S084 has no listed basic units for assistants, you must submit M400B with a letter of medical necessity to the medical consultant for approval.
Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium, which is a common cause for claim reversal during audits.

Billing Tips

Always verify the patient's exact age in days at the time of the procedure to determine if the age-based surgical premiums (e.g., 30 days to 1 year) apply to the base fee of $212.35.
For anaesthesia (suffix C), since no basic units are listed, ensure the anaesthetist calculates time units based on a comparable procedure and documents the specific rationale for the unit selection to facilitate consultant review.

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Provider Fee$212.35

Effective: April 1, 2025

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