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S132
S132 – Pyloroplasty
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
`S132` is a surgical service for performing a pyloroplasty. Payment includes the surgeon's fee (suffix A), and when required, fees for a surgical assistant (suffix B) and an anaesthesiologist (suffix C). Assistant and anaesthesiologist fees are calculated using a combination of base units (7 for Assistant, 7 for Anaesthetist) and time units as outlined in the Schedule's General Preamble (, ).
When to Use
- Use S132 when performing a formal pyloroplasty to address gastric outlet obstruction or as part of a peptic ulcer disease management strategy.
- Use S132 when the procedure is performed as a standalone surgical intervention, distinct from more complex gastric resections like S133 or S137.
Common Pitfalls
- Billing S132 alongside more comprehensive gastric procedures (e.g., S133) will trigger a rejection or audit, as the pyloroplasty is often considered an inherent component of larger gastric surgeries.
- Failure to document the specific start time of the procedure often leads to the denial of after-hours premiums (E409, E410), which are strictly time-dependent.
- Incorrectly calculating assistant (suffix B) or anaesthetist (suffix C) units by failing to use the base units (7) plus the appropriate time units as defined in the General Preamble.
Billing Tips
- Ensure the claim includes the correct suffix (A for surgeon, B for assistant, C for anaesthetist) to avoid automatic processing errors.
- When performing multiple procedures during the same anaesthetic, ensure the base units for the assistant and anaesthetist are derived from the major procedure code to comply with the General Preamble.
Provider Fee$406.85
Surgical Assistant Fee$87.57
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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