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S174
S174 – Intestines - perineal
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents the service rendered by the perineal surgeon as part of a two-surgeon team approach for procedures like a total colectomy with abdomino-perineal resection. The abdominal component of the surgery is billed separately by the abdominal surgeon using S173. This service is explicitly listed under the 'Two-surgeon team' subheading in the Digestive System section of the Schedule.
When to Use
- Use S174 specifically for the perineal portion of an abdomino-perineal resection when working as part of a formal two-surgeon team.
- Use this code when the primary abdominal surgeon is simultaneously billing S173 for the abdominal component of the same procedure.
Common Pitfalls
- Billing S174 without a corresponding S173 on the same date for the same patient will trigger an automatic rejection as the code is defined as a team-based service.
- Attempting to bill S174 in addition to other major surgical codes for the same anatomical site is prohibited, as it is intended to represent a specific component of a defined two-surgeon procedure.
Billing Tips
- Ensure the claim includes the diagnostic code matching the abdominal surgeon's S173 claim to maintain consistency and avoid audit flags.
- If performing a continent ileostomy during the same session, append E738 to your claim to capture the additional flat fee associated with S174.
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