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S162
S162 – Local excision of lesion of intestine
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S162 is a surgical procedure for the local excision of a lesion of the intestine. The fee for the surgeon is a flat rate, while fees for the assistant and anaesthetist are calculated based on basic units plus time units as specified in the Schedule of Benefits.
When to Use
- Use S162 for the localized excision of a benign or malignant intestinal lesion that does not require a formal bowel resection or anastomosis.
- Select S162 when performing a limited excision of a polyp or small lesion via enterotomy, provided the procedure does not meet the criteria for a more extensive bowel resection code like S165.
Common Pitfalls
- Billing S162 in conjunction with a formal bowel resection code is considered unbundling; the excision is typically included in the global fee of the primary resection.
- Attempting to bill for a second assistant without prior medical consultant authorization will result in an automatic rejection, as S162 is not pre-approved for secondary assistance.
Billing Tips
- Ensure the operative report clearly distinguishes the local excision from any concurrent procedures to justify the claim for S162 as a distinct surgical event.
Provider Fee$528.85
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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