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S217
S217 – Hartmann procedure
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Hartmann procedure is a type of proctectomy, which is the surgical excision of the rectum. It is listed under the Digestive System surgical procedures. Payment for this service is eligible for a 25% premium, payable under fee code E793A, when performed laparoscopically or with laparoscopic assistance.
When to Use
- Use S217 for the surgical resection of the rectosigmoid colon with closure of the rectal stump and creation of an end colostomy.
- Select S217 specifically for emergency management of perforated diverticulitis or obstructive colorectal malignancy where a primary anastomosis is not feasible.
Common Pitfalls
- Failing to append the E793A premium when the procedure is performed laparoscopically, resulting in a 25% loss of eligible revenue.
- Billing S217 in conjunction with other major abdominal procedures without adhering to the multiple procedure rule, which limits anaesthesia and surgical assist units to the major procedure only.
Billing Tips
- Always link E793A to S217 on the same claim to ensure the 25% laparoscopic premium is correctly applied to the base fee.
Provider Fee$1,211.10
Surgical Assistant Fee$103.28
Anaesthetist Fee$143.64
Non-Anaesthetist Fee$143.64
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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