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S167

S167Large intestine - any portion

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

A surgical procedure involving the resection (removal) of any portion of the large intestine, followed by an anastomosis (reconnection of the bowel).

When to Use

  • Use S167 for any segmental resection of the colon, such as a sigmoidectomy or right hemicolectomy, where an anastomosis is performed.
  • Use S167 when performing a bowel resection that does not fall under more specific site-defined codes like S165 (rectum) or S166 (sigmoid colon), provided the procedure involves resection and anastomosis.

Common Pitfalls

  • Failing to append the E793 premium when performing the resection laparoscopically, which results in a significant loss of 25% of the base fee.
  • Attempting to bill E718 for a repeat resection when the initial procedure was not one of the specifically listed codes (S217, S213, S214, or S215) or a previous anastomosis, leading to automatic rejection.
  • Claiming the splenic flexure mobilization premium (E796) when it was not explicitly performed or documented, which is a common trigger for post-payment audit.

Billing Tips

  • Always verify if the patient meets the criteria for E718 (previous resection or specific prior procedures) to ensure you capture the additional $142.40 flat fee.
  • Ensure the laparoscopic approach (E793) is clearly identified in the operative report to support the 25% premium, as this is the most common high-value add-on for S167.
Provider Fee$1,004.40
Surgical Assistant Fee$90.37
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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