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S100

S100Total thoracic oesophageal myotomy

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

Total thoracic oesophageal myotomy is a surgical repair procedure on the oesophagus. This fee code applies when it is the sole procedure performed. As a surgical procedure, the fee includes pre-operative evaluation, the operation itself, and normal post-operative care.

When to Use

  • Use S100 for a total thoracic oesophageal myotomy performed as a standalone surgical procedure for conditions such as achalasia.
  • Use S100 in conjunction with E758 when a concurrent oesophageal hiatus hernia repair is performed during the same operative session.

Common Pitfalls

  • Failure to append the E683 modifier when performing the procedure via VATS or robotic-assisted approach, resulting in a 35% underpayment.
  • Attempting to bill for a surgical assistant without prior authorization; payment for S100B requires a formal letter of justification submitted via M400B.
  • Assuming standard anaesthesia units apply; S100C requires independent consideration as no fixed basic units are assigned.

Billing Tips

  • Always verify the patient's age at the time of service to ensure the appropriate age-based percentage premium (ranging from 10% to 30%) is applied to the base fee.
  • Ensure the E683 modifier is clearly linked to the S100 claim to capture the 35% increase for minimally invasive or robotic approaches.
Provider Fee$841.35

Effective: April 1, 2026

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

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