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S211
S211 – TaTME with proctosigmoidectomy and anastomosis below peritoneal reflection - abdominal surgeon
OHIP Urology Code · Schedule of Benefits
Transanal total mesorectal excision (TaTME) with proctosigmoidectomy and anastomosis below the peritoneal reflection, specifically the abdominal component performed by one member of a two-surgeon team.
When to Use
- Use S211 when performing the abdominal portion of a TaTME procedure as part of a two-surgeon team, where the perineal surgeon bills S212.
- Select S211 specifically for the abdominal mobilization and anastomosis component when the complexity of the rectal dissection necessitates concurrent surgical teams.
Common Pitfalls
- Billing S211 as a solo surgeon; if you perform the entire procedure alone, you must use S210 instead to avoid automatic rejection.
- Submitting S211 alongside other colonic or rectal procedure codes, which will trigger a rejection due to the comprehensive nature of the TaTME procedure.
- Failing to ensure the perineal surgeon is simultaneously billing S212, as the Ministry expects these codes to be linked in the surgical record.
Billing Tips
- Always bill the assistant and anaesthetist under S211, as S212 is restricted to the perineal surgeon's professional fee and does not support assistant claims.
- Ensure the claim includes the GP64 age premium if the patient is under 16, as this is often overlooked in complex surgical billing.
Provider Fee$950.00
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
Two surgeons must be present and working concurrently.
Performed in a hospital or ICHSC setting (prefix #).
S211 is one of the few codes where a second assistant is automatically payable without prior authorization ().
Age premiums apply for patients under 16 years of age ().
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