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S089
S089 – Partial oesophageal resection and reconstruction
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the partial removal of the oesophagus and its subsequent reconstruction, including intestinal transposition. This procedure is eligible for add-on payments for specific additional complexities such as reconstruction of the diaphragm with mesh (E847) or radical mediastinal node dissection (E644). It can also be performed using minimally invasive techniques, which allows for a 35% premium (E683).
When to Use
- Use S089 for partial oesophagectomy procedures involving reconstruction and intestinal transposition, distinguishing it from S090 which typically covers total oesophagectomy.
- Apply S089 when the surgical plan involves a partial resection of the oesophagus, regardless of whether the approach is open or minimally invasive.
Common Pitfalls
- Failing to document the specific use of mesh for diaphragm reconstruction, which is a mandatory requirement to trigger the E847 add-on payment.
- Attempting to bill E644 for radical mediastinal node dissection without explicit documentation of prior neoadjuvant chemotherapy or radiotherapy, which is a strict eligibility condition.
- Applying the E683 35% premium to the total claim amount rather than specifically to the base fee of S089, or failing to specify the minimally invasive technique used in the operative report.
Billing Tips
- Ensure that when billing E683, the operative report clearly identifies the specific minimally invasive approach (VATS, robotic, or uniportal) to avoid audit rejections.
- When claiming E644, ensure the hospital setting and the history of preoperative oncology treatment are clearly linked in the claim submission to satisfy the specific eligibility criteria.
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