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S203
S203 – Insertion of peritoneo-jugular shunt for ascites - primary
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the primary insertion of a peritoneo-jugular shunt to treat ascites. The fee for the surgeon is a flat rate. The service includes anaesthesia with 7 base units (Anae: 7) and allows for a surgical assistant with 7 base units (Asst: 7). Suffixes 'A' for the surgeon, 'B' for the assistant, and 'C' for the anaesthesiologist should be used when billing. See - for details on assistant and anaesthesia billing.
When to Use
- Use S203 for the initial placement of a peritoneo-jugular shunt (e.g., Denver or LeVeen shunt) specifically indicated for the management of refractory ascites.
- Select S203 when performing the primary procedure; do not use this code for shunt revisions or replacements, which fall under different procedural categories.
Common Pitfalls
- Billing S203 in conjunction with S310 or S315 will result in an automatic rejection, as these codes are mutually exclusive for abdominal surgical procedures.
- Failure to append the correct suffix (A for surgeon, B for assistant, C for anaesthesiologist) will cause the claim to fail validation, as the system requires these to process the associated base units.
Billing Tips
- Ensure the 7 base units for the surgical assistant and anaesthesiologist are correctly applied to the claim, as these are fixed values specifically tied to the S203 procedure fee.
Provider Fee$281.85
Surgical Assistant Fee$87.57
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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