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S088
S088 – Cricopharyngeal diverticulum
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service involves the surgical removal (excision) of a cricopharyngeal diverticulum. It is classified under the Oesophagus - Excision section of the Schedule of Benefits.
When to Use
- Use S088 when performing the formal excision of a Zenker's diverticulum (cricopharyngeal diverticulum).
- Use this code for the definitive surgical removal of the pouch, as opposed to a simple myotomy.
Common Pitfalls
- Do not bill S088 in conjunction with S086 (cricopharyngeal myotomy), as these are mutually exclusive and restricted by the Schedule of Benefits.
- Avoid billing S088 if the procedure performed was solely a myotomy without the excision of the diverticulum, as S088 specifically requires the excision component.
Billing Tips
- If an assistant is required for this procedure, you must submit a letter to the Ministry outlining the clinical necessity and claim the assistant fee using M400B for manual review.
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