S197 – Multivisceral transplant - recipient, without evisceration
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents the recipient portion of a multivisceral transplant, performed without evisceration. Payment for S197 is conditional on the procedure including the transplant of the small bowel and liver. The transplant may also include the duodenum, stomach, pancreas, and large bowel. For cases that involve evisceration, the add-on code E807 should be claimed in addition to S197.
When to Use
- Use S197 as the primary procedural code for a multivisceral transplant recipient where the procedure includes both the small bowel and the liver.
- Use S197 in conjunction with add-on code E807 if the surgical procedure specifically involves evisceration of the recipient's organs.
Common Pitfalls
- Claiming S197 without documenting the inclusion of both small bowel and liver transplants, which is a mandatory requirement for payment.
- Failing to include the E807 add-on code when evisceration is performed, resulting in an under-billing of the procedure's complexity.
- Attempting to bill S197 for isolated organ transplants; it is strictly reserved for multivisceral cases meeting the specific bowel/liver criteria.
Billing Tips
- Ensure the operative report explicitly lists the transplanted organs (small bowel and liver) to satisfy the documentation requirements for S197.
- Apply the appropriate age-based premium (e.g., AGE_PREMIUM_LT1Y, AGE_PREMIUM_LT5Y) to the S197 fee, as these are eligible for this surgical procedure.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
The operative report must document that the procedure included the transplant of the small bowel and liver, with or without transplant of the duodenum, stomach, pancreas and large bowel.
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