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S212

S212S212

OHIP Urology Code · Schedule of Benefits

TaTME with proctosigmoidectomy and anastomosis below peritoneal reflection - perineal surgeon

When to Use

  • Use S212 exclusively when performing the perineal component of a TaTME procedure while a separate surgeon performs the abdominal component billed as S211.
  • Select this code when the primary surgical focus is the transanal dissection, proctosigmoidectomy, and creation of the anastomosis below the peritoneal reflection.

Common Pitfalls

  • Billing S212 in isolation without a corresponding S211 claim from the abdominal surgeon will trigger an audit or rejection for incomplete procedure reporting.
  • Attempting to bill additional proctectomy codes (such as Z502) alongside S212 is redundant and will result in a claim rejection for unbundling.

Billing Tips

  • Ensure the operative report clearly delineates the perineal surgeon's specific tasks to justify the use of the S212 fee versus the abdominal S211 fee.
Provider Fee$1,498.75

Effective: April 1, 2026

Service Type

Surgical

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