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S209
S209 – Insertion of peritoneo-jugular shunt for ascites - revision
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Revision of a peritoneo-jugular shunt for ascites. This procedure is listed in the Digestive System section under Abdomen, Peritoneum and Omentum. The service allows for separate claims by the operating surgeon, assistant, and anaesthesiologist using the appropriate suffix. Payment for the assistant and anaesthesiologist is calculated based on base units and time units.
When to Use
- Use S209 specifically for the surgical revision of a previously inserted peritoneo-jugular shunt (e.g., Denver or LeVeen shunt) due to malfunction, occlusion, or migration.
- Select S209 when performing a secondary procedure to restore shunt patency or reposition components, distinguishing it from the initial insertion code S203.
Common Pitfalls
- Billing S209 as a primary insertion code; ensure the claim reflects the 'revision' nature to avoid audit flags regarding the history of the shunt.
- Failing to document the specific technical reason for the revision (e.g., catheter obstruction, valve failure), which is essential for justifying the surgical necessity of the revision over simple troubleshooting.
Billing Tips
- Ensure the surgical assistant and anaesthesiologist use the appropriate suffixes (S209B and S209C) to ensure their respective time-based and unit-based payments are processed correctly against the base fee.
Provider Fee$237.00
Surgical Assistant Fee$90.37
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
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