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S228 – Rectal prolapse - insertion of Thiersh wire

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

S228 is listed under the 'Rectum - Repair' and 'Rectal prolapse' sub-headings. The procedure involves the insertion of a Thiersh wire for the treatment of rectal prolapse. As a surgical procedure, it is claimable with suffix 'A' by the surgeon. Assistant services (suffix 'B') and anaesthesia services (suffix 'C') are also eligible for payment, with fees calculated based on basic and time units as outlined in the Schedule of Benefits.
The medical record must establish that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary.
For assistant services, time spent must be documented, including direct contact with the patient in the operating room prior to scrub time and time spent assisting at surgery from scrub time until no longer required.
For anaesthesia services, time units are calculated based on time spent by the anaesthesiologist from initiating anaesthesia until the patient may be safely placed under customary post-operative supervision.

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