All codes
S104
S104 – Repair of oesophageal atresia with or without tracheal fistula
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S104 is a major surgical procedure to correct oesophageal atresia, a congenital condition. The procedure involves repairing the discontinuity in the oesophagus and may also involve closing an abnormal connection between the oesophagus and the trachea (tracheal fistula).
When to Use
- Use S104 for the primary surgical correction of congenital oesophageal atresia, regardless of whether a tracheoesophageal fistula is present or absent.
- Select S104 when performing the definitive repair of the oesophageal discontinuity in a neonate, as this code encompasses the major surgical intervention required for this diagnosis.
Common Pitfalls
- Do not bill S104 in conjunction with S103, as S104 is the comprehensive code for the repair and includes the components of the procedure described in S103.
- Avoid billing S104 with other minor digestive tract procedures performed during the same anaesthetic session, as the payment adjustment rules dictate that only the major procedure is eligible for the full fee.
Billing Tips
- Ensure that the surgical assistant and anaesthesiologist use the basic units associated with S104 as the primary procedure to avoid claim rejections or manual adjustments.
Provider Fee$2,508.75
Effective: April 1, 2026
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.