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S191
S191 – Complete reconstruction of continent ileostomy to include valve repair
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Complete reconstruction of a continent ileostomy including the repair of the valve. The fee for the surgical assistant (suffix B) and anaesthetist (suffix C) are calculated based on basic units plus time units.
When to Use
- Use S191 when performing a comprehensive revision of a continent ileostomy that specifically requires the surgical reconstruction of the internal valve mechanism.
- Select S191 over S192 when the procedure involves the full reconstruction of the reservoir and valve, rather than a more limited or localized repair.
Common Pitfalls
- Billing E718 in conjunction with S191 is a prohibited combination and will result in an automatic claim rejection.
- Attempting to bill for a second surgical assistant without prior authorization from a medical consultant will lead to payment denial, as S191 is not on the pre-approved list for multiple assistants.
Billing Tips
- Ensure that the operative report explicitly details the valve repair component, as this is the defining clinical requirement for the S191 fee versus other ileostomy revision codes.
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