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S180
S180 – Intestinal obstruction (mechanical) - with enterotomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S180 represents a one-stage surgical procedure for the treatment of mechanical intestinal obstruction where an enterotomy is performed. This procedure involves making an incision into the intestine to relieve the obstruction.
When to Use
- Use S180 when performing a formal enterotomy to remove a foreign body or fecalith causing a mechanical obstruction.
- Use S180 for the surgical management of an intussusception or simple obstruction where the bowel is opened to clear the lumen, provided no resection is required.
Common Pitfalls
- Billing S180 alongside S312 will result in a rejection, as these are mutually exclusive codes for intestinal obstruction management.
- Attempting to bill S180 when a bowel resection is actually performed is an audit risk; use the appropriate resection code instead if the bowel was removed.
- Failing to document the specific 'enterotomy' step in the operative report can lead to a downgrade if the procedure is audited and deemed to be a simple lysis of adhesions.
Billing Tips
- Ensure the operative report explicitly describes the incision into the bowel wall to relieve the obstruction to justify the S180 fee over less invasive procedures.
- If a resection is required due to bowel compromise discovered during the enterotomy, you must bill the resection code as the primary procedure and the enterotomy may be considered inclusive.
Provider Fee$943.60
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
If staged procedure, refer to Surgical Preamble .
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