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S139

S139Gastrorrhaphy

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

Gastrorrhaphy is the surgical repair by suture of a perforation or wound of the stomach. As per the note on page of the Schedule of Benefits, this service code is also applicable for the suture of a perforated duodenal ulcer. The fee for the surgeon (suffix A) is a flat rate. The fees for the surgical assistant (suffix B) and anaesthetist (suffix C) are calculated based on basic units plus time units. The basic units for a surgical assistant are 6 () and for an anaesthetist are 7 ().

When to Use

  • Use S139 for the primary surgical repair of a perforated stomach wall or gastric wound.
  • Use S139 for the surgical suture of a perforated duodenal ulcer as explicitly permitted by the Schedule of Benefits.

Common Pitfalls

  • Do not bill S139 for simple gastric biopsies or non-perforation related procedures, as these require different surgical codes.
  • Failure to document the specific location of the perforation (gastric vs. duodenal) can lead to audit scrutiny regarding the appropriateness of using S139.

Billing Tips

  • Ensure the surgical assistant (suffix B) and anaesthetist (suffix C) correctly calculate their total fee using the mandatory base units of 6 and 7 respectively, plus the applicable time units.
Provider Fee$769.60
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

For suture of duodenal ulcer, refer to S139 above.

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