What is OHIP billing code S098?

S098 is "Oesophageal bypass, abdomen to neck - with stomach", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S098 pay?

The current OHIP fee for S098 is $912.60, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S098 to OHIP?

S098 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S098 claims against the Schedule of Benefits rules before submission.

What codes are related to S098?

Codes related to S098 in the Schedule of Benefits include S099.

All codes

S098

S098 – Oesophageal bypass, abdomen to neck - with stomach

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

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Performs the surgical creation of an oesophageal bypass route from the abdomen to the neck, utilizing the stomach as a conduit. This major procedure is listed within the Digestive System Surgical Procedures section of the Schedule of Benefits. As a surgical service, its fee includes all common and specific elements for surgery as defined in the General Preamble (, , , ). Fees for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) are calculated based on their respective basic and time units.

When to Use

Use S098 for the definitive creation of a gastric conduit bypass in patients with unresectable esophageal malignancy or severe benign strictures requiring surgical reconstruction.
Select S098 when the stomach is specifically mobilized and utilized as the primary conduit for the bypass, distinguishing it from procedures involving colonic or jejunal interposition.

Common Pitfalls

Billing S098 in conjunction with other major abdominal or thoracic procedures without ensuring the documentation supports distinct, non-overlapping surgical work, as S098 is a comprehensive procedure.
Failing to document the Injury Severity Score (ISS) in the patient record when claiming the E420 trauma premium, which leads to automatic rejection or recovery during audit.

Billing Tips

Ensure the E683 premium is only applied when the specific surgical approach (thoracoscopic, VATS, robotic, or uniportal) is clearly dictated in the operative report to justify the 35% increase.
Verify that the time of procedure commencement is precisely recorded to correctly trigger after-hours premiums (E409 or E410) for non-elective cases, as these are time-sensitive and subject to strict validation.

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Provider Fee$912.60

Effective: April 1, 2025

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