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S115
S115 – Reversal of previous vertical banded gastroplasty
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the reversal of a previous vertical banded gastroplasty. The fee is for the surgeon (suffix A). Separate calculations apply for assistant (suffix B) and anaesthetist (suffix C) services based on basic and time units. This procedure may be performed laparoscopically or with laparoscopic assistance, which qualifies for the E793 premium, adding 25% to the surgical fee.
When to Use
- Use S115 specifically for the surgical reversal of a previously performed vertical banded gastroplasty procedure.
- Use this code when the primary surgical intent is the undoing of the restrictive gastric band or staple line associated with the original vertical banded gastroplasty.
Common Pitfalls
- Do not attempt to bill a second assistant for S115, as it is not on the pre-approved list and will be rejected without prior authorization.
- Avoid confusing S115 with general gastric revision codes; ensure the operative report explicitly confirms the reversal of a vertical banded gastroplasty to avoid audit discrepancies.
Billing Tips
- Always append E793 to your claim if the reversal is performed laparoscopically or with laparoscopic assistance to capture the mandatory 25% fee increase.
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