All codes
S158
S158 – Cecostomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S158 represents the surgical procedure for creating a cecostomy, which is an artificial opening into the cecum. This procedure is typically performed as an intra-abdominal operation.
When to Use
- Use S158 for the formal surgical creation of a cecostomy, typically performed as an open intra-abdominal procedure for fecal diversion.
- Select S158 when the procedure involves the surgical exteriorization of the cecum, distinguishing it from percutaneous radiologically-guided cecostomy tubes which are billed under different diagnostic imaging or interventional radiology codes.
Common Pitfalls
- Billing S158 alongside other major abdominal procedures without ensuring the surgical claim adheres to the Multiple Procedure Rule, which may reduce the fee for the secondary procedure.
- Failure to document the specific surgical approach; S158 is an open surgical code, and attempting to bill it for non-surgical or minimally invasive percutaneous interventions will lead to audit scrutiny.
Billing Tips
- Ensure that if the cecostomy is performed as part of a larger, more complex abdominal surgery, you review the Schedule of Benefits for any applicable 'included' or 'not to be billed with' restrictions to avoid claim rejections.
Provider Fee$387.40
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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