S192 – Simple revision of continent ileostomy pouch
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Simple revision of a continent ileostomy pouch. This service is listed under the Repair subsection of the Intestines (except rectum) part of the Digestive System Surgical Procedures section. - Surgeon (Suffix A): The fee for the primary surgical procedure. - Assistant (Suffix B): Eligible for payment based on 6 basic units plus time units as per -. - Anaesthesia (Suffix C): Eligible for payment based on 7 basic units plus time units as per -.
When to Use
- Use S192 for minor, localized revisions to a continent ileostomy pouch, such as addressing a minor stricture or valve issue that does not require a full reconstruction.
- Select S192 when the procedure is limited to a simple revision, as opposed to S193 which is intended for more complex or extensive revisions of the continent ileostomy pouch.
Common Pitfalls
- Billing E718 in conjunction with S192 will result in an automatic rejection, as E718 is explicitly restricted for use with this code.
- Submitting S192 for a major pouch reconstruction or total revision will likely lead to an audit or claim adjustment, as the code is strictly defined for 'simple' revisions.
Billing Tips
- Ensure the operative report clearly distinguishes the 'simple' nature of the revision to justify S192 over more intensive surgical codes, as this is the primary criterion for payment.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.