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S154
S154 – Large intestine - including excision of polyps
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S154 is an open surgical procedure involving an incision into the large intestine (enterotomy). This service includes the excision of polyps if performed during the procedure. It is eligible for surgeon, assistant, and anaesthetist fees, with specified base units for assistant and anaesthesia services.
When to Use
- Use S154 for open enterotomy procedures involving the large intestine, specifically when the primary intent is the removal of polyps.
- Use S154 when an open surgical approach is required for bowel access, distinguishing it from endoscopic procedures like S149 or S150.
Common Pitfalls
- Do not bill S154 in addition to other major intestinal resections (e.g., S155, S156) if the enterotomy is incidental to the primary procedure, as it is considered part of the global surgical fee.
- Avoid billing S154 for endoscopic polypectomy; ensure the operative report clearly documents an open incision (enterotomy) to support the code selection.
Billing Tips
- If multiple procedures are performed under the same anaesthetic, ensure the assistant and anaesthetist units are calculated based on the major procedure code to avoid claim rejection.
- Always document the specific location and size of the polyps removed, as this supports the medical necessity of the enterotomy performed under S154.
Provider Fee$463.25
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
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