S151 – Insertion of feeding enterostomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service covers the surgical insertion of a feeding enterostomy. The fee is for the procedure when performed as the primary operation. If the feeding enterostomy is inserted at the time of another intra-abdominal procedure, fee code E737 should be claimed as an add-on fee instead. This procedure is eligible for surgeon (<suffix>A</suffix>), assistant (<suffix>B</suffix>), and anaesthesia (<suffix>C</suffix>) services with specific base units.
When to Use
- Use S151 as the primary procedure code when the feeding enterostomy is the sole surgical intervention performed during the operative session.
- Use S151 for stand-alone surgical placement of a feeding tube where no other intra-abdominal procedures are conducted.
Common Pitfalls
- Claiming S151 in conjunction with other intra-abdominal procedures will trigger a rejection; you must use E737 as an add-on to the primary procedure instead.
- Attempting to bill S151 for percutaneous endoscopic gastrostomy (PEG) or radiologically guided tube placements, which are governed by different codes within the Schedule of Benefits.
Billing Tips
- If the procedure is performed after hours, ensure you append the appropriate premium (E409 or E410) to the base fee of S151 to maximize the claim value.
- Verify that the surgical assistant and anaesthesiologist are aware of the primary/add-on distinction, as their respective premiums must align with the primary procedure code billed.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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