What is OHIP billing code S169?

S169 is "Total colectomy with ileo-rectal anastomosis", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S169 pay?

The current OHIP fee for S169 is $1502.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill S169 to OHIP?

S169 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S169 claims against the Schedule of Benefits rules before submission.

What codes are related to S169?

Codes related to S169 in the Schedule of Benefits include S160, E793, E714, S162, Z750, S164, S165, S166.

All codes

S169

S169 – Total colectomy with ileo-rectal anastomosis

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

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Total colectomy with ileo-rectal anastomosis is a surgical procedure for the complete removal of the colon, with the ileum then being surgically connected (anastomosed) to the rectum to restore bowel continuity. This service is eligible for add-on codes for laparoscopic assistance (E793), neo-rectal pouch formation (E808), or continent ileostomy (E738).

When to Use

Use S169 when performing a complete colectomy with a direct ileo-rectal anastomosis, distinguishing it from procedures involving a permanent ileostomy like S168.
Select S169 for elective or urgent cases where bowel continuity is restored via the rectum, ensuring the procedure does not involve a proctectomy which would fall under different surgical coding.

Common Pitfalls

Failing to append the E793 modifier when performing the procedure laparoscopically, which results in a 25% underpayment of the base fee.
Attempting to bill E808 or E738 as standalone procedures; these are strictly add-on codes that must be submitted on the same claim as the primary S169 code.
Incorrectly billing S169 when a total proctocolectomy is performed, as S169 specifically requires the retention of the rectum for anastomosis.

Billing Tips

Always verify the current fee schedule for E808 and E738, as these flat-fee add-ons have specific, distinct values compared to other colorectal surgical modifiers.
If a second assistant is medically necessary, do not bill without prior authorization; ensure the surgeon's letter of justification is prepared for submission to the Ministry to avoid automatic rejection.

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Provider Fee$1,502.80

Surgical Assistant Fee$116.19

Anaesthetist Fee$143.64

Non-Anaesthetist Fee$143.64

Effective: April 1, 2026

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