All codes
S210
S210 – TaTME with proctosigmoidectomy and anastomosis below peritoneal reflection - one surgeon technique
OHIP Urology Code · Schedule of Benefits
Transanal Total Mesorectal Excision (TaTME) with proctosigmoidectomy and anastomosis below peritoneal reflection - one surgeon technique.
When to Use
- Use S210 when performing a complete TaTME proctosigmoidectomy with anastomosis below the peritoneal reflection as a single-surgeon procedure.
- Use S210 instead of S213 when the specific transanal approach (TaTME) is utilized, as S213 is reserved for standard anterior resection or proctosigmoidectomy techniques.
Common Pitfalls
- Billing S210 when two surgeons are involved in the procedure; you must use S211 and S212 for a two-surgeon team approach.
- Attempting to claim the morbid obesity premium (E676) with S210, which is currently not eligible under the Surgical Preamble.
- Failing to document the specific TaTME technique and the anastomosis location below the peritoneal reflection, which are mandatory for audit compliance.
Billing Tips
- If the procedure requires conversion to an open laparotomy, ensure you bill E860 in addition to S210 to capture the diagnostic laparoscopic component.
- If the procedure is performed after hours, apply the appropriate E409 or E410 premium to the S210 fee to maximize reimbursement.
Provider Fee$2,448.75
Surgical Assistant Fee$103.28
Anaesthetist Fee$159.60
Non-Anaesthetist Fee$159.60
Effective: April 1, 2026
Service Type
Digestive System Surgical Procedures
Code Classes
Surgery
The procedure includes the generally accepted surgical components of the technique.
Medical records must support the specific technique (TaTME) and the anastomosis location (below peritoneal reflection).
Age Restriction
Less than 16 years of age (eligible for age-based premiums)
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.