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S187
S187 – Plication of small intestine for adhesions
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Plication of the small intestine is a surgical technique used to create folds in the intestinal wall to manage and prevent recurrent intestinal obstructions caused by adhesions. This procedure is distinct from the simple division or removal of adhesions, which should be billed using S312.
When to Use
- Use S187 when performing a formal plication procedure (e.g., Noble or Childs-Phillips) to manage recurrent small bowel obstruction.
- Use S187 specifically when the surgical intent is to create permanent intestinal folds to prevent future adhesion formation, rather than just lysing existing ones.
Common Pitfalls
- Billing S187 for simple adhesiolysis; if the procedure is limited to the division of adhesions, you must use S312 instead.
- Failing to document the specific plication technique used, which can lead to audit scrutiny when the claim is compared against the lower-valued S312.
Billing Tips
- Ensure the operative report explicitly describes the plication technique, as this is the primary differentiator between S187 and the more common S312.
Provider Fee$602.20
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
For division or removal of adhesions only, use S312.
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