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S178
S178 – Intestinal atresia (newborn)
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure for the repair of intestinal atresia in a newborn. Intestinal atresia is a congenital condition characterized by the partial or complete blockage of the intestine.
When to Use
- Use S178 for the primary surgical repair of congenital intestinal atresia in a newborn up to 28 days of age.
- Select S178 when performing an anastomosis or resection specifically indicated for atresia, rather than general exploratory laparotomy or non-specific bowel obstruction codes.
Common Pitfalls
- Failing to apply the 30% Age Premium (AGE_PREMIUM_LT30D) for patients under 30 days of age, which is a mandatory addition to the surgeon's fee for this code.
- Attempting to bill S178 alongside other major abdominal procedures without ensuring the surgical claim adheres to the Multiple Procedure Rule, which may reduce the fee for secondary procedures.
Billing Tips
- Always verify the exact age in days at the time of the procedure to ensure the 30% age premium is triggered, as the definition of 'newborn' for this code is strictly capped at 28 days.
Provider Fee$1,722.55
Surgical Assistant Fee$77.46
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
Age Restriction
Service is for newborns. A newborn is defined as a person from birth up to, and including, 28 days of age.
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