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S227
S227 – Rectum repair - abdominal approach
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Repair of rectal prolapse using an abdominal surgical approach. The fee for this procedure includes the surgeon's work, as well as separate calculations for assistant and anaesthesia services based on unit values.
When to Use
- Use S227 specifically for abdominal rectopexy or abdominal repair of rectal prolapse, distinguishing it from perineal approaches like S226.
- Select S227 when the surgical approach is strictly abdominal, even if combined with other minor pelvic floor repairs, provided the primary procedure is the abdominal rectal repair.
Common Pitfalls
- Billing S227 alongside other pelvic floor procedures without checking for 'included' services, as many minor repairs are considered part of the global surgical fee.
- Failing to document the abdominal approach clearly, which can lead to rejections if the claim is audited against codes for perineal or transanal approaches.
Billing Tips
- Ensure the surgical report explicitly describes the abdominal entry and the specific technique used for the rectopexy to justify the S227 fee over less invasive alternatives.
- Verify that the patient's age is correctly captured to trigger the appropriate age-based premiums (e.g., AGE_PREMIUM_UNDER_16Y) if applicable, as these are significant additions to the base fee.
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