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S182
S182 – Revision of ileostomy or colostomy - full thickness
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Revision of ileostomy or colostomy - full thickness is a surgical procedure for the repair of an intestinal stoma, involving the full thickness of the stoma.
When to Use
- Use S182 for formal surgical revision of a stoma that requires full-thickness mobilization and reconstruction, distinct from simple local debridement or minor suture repair.
- Select S182 when the procedure involves addressing stoma prolapse, retraction, or stenosis that necessitates a full-thickness surgical approach to restore anatomy.
Common Pitfalls
- Avoid billing S182 for minor office-based revisions or simple local excisions that do not involve full-thickness mobilization; these may be considered part of a general visit or a minor surgical code.
- Do not bill S182 in conjunction with S181 or other stoma-related codes for the same anatomical site during the same operative session, as this constitutes unbundling.
Billing Tips
- Ensure the operative report explicitly details the 'full-thickness' nature of the revision to support the use of S182 over less intensive stoma management codes.
- If performing a revision during a more extensive abdominal procedure, ensure you are aware of the multiple procedure rules to avoid incorrect claim submission for the stoma component.
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