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S152

S152Bowel lengthening procedure in a paediatric patient

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

Bowel lengthening procedure in a paediatric patient. Commentary Examples of a bowel lengthening procedure include serial transverse enteroplasty (STEP) or longitudinal intestinal lengthening and tailoring (LILT). Payment Rules 1. S152 is not eligible for payment with any other services described in the Digestive System Surgical Procedures/Intestines (Except Rectum) section of the Schedule, for the same patient, same day. 2. S152 is limited to one per patient per day. Fee Calculation - **Surgeon (S152A):** The fee is the listed amount for the surgical procedure. - **Assistant (S152B):** The fee is calculated based on 9 base units plus time units. Time units are calculated per 15 minutes as per . - **Anaesthetist (S152C):** The fee is calculated based on 10 base units plus time units. Time units are calculated per 15 minutes as per .

When to Use

  • Use S152 specifically for formal bowel lengthening procedures such as Serial Transverse Enteroplasty (STEP) or Longitudinal Intestinal Lengthening and Tailoring (LILT) in paediatric patients.
  • Select S152 when the primary surgical intent is to increase the functional length of the bowel in cases of short bowel syndrome, rather than performing a simple resection or anastomosis.

Common Pitfalls

  • Billing S152 alongside other digestive system surgical procedures on the same day will trigger an automatic rejection due to the restrictive payment rules for this section.
  • Attempting to bill S152 for standard bowel resections or simple stricturoplasties is an audit risk; ensure the operative note explicitly describes the lengthening technique (e.g., STEP or LILT) to justify the code.

Billing Tips

  • Always apply the appropriate age-based surgical premium (e.g., AGE_PREMIUM_UNDER_16_YEARS) to the surgeon, assistant, and anaesthetist fees to ensure full reimbursement for paediatric care.
Provider Fee$1,700.00
Surgical Assistant Fee$112.59
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

Category

S. Digestive System Surgical Procedures

Subcategory

DIGESTIVE SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Digestive System Surgical Procedures

Age Restriction

Paediatric patient

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