S248 – Peter Lord procedure
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
The Peter Lord procedure is a manual dilation of the anal sphincter, typically used for the treatment of haemorrhoids. The '#' prefix indicates that when this service is rendered in a hospital or an Integrated Community Health Services Centre (ICHSC), the premises, equipment, supplies, and personnel are funded through the facility's budget and cannot be charged to the patient (see ).
When to Use
- Use S248 for the manual dilation of the anal sphincter specifically as a therapeutic intervention for symptomatic haemorrhoids.
- Select S248 when performing the procedure as a standalone manual intervention, distinct from formal surgical excision or ligation procedures.
Common Pitfalls
- Billing S248 in a hospital or ICHSC setting and attempting to charge for facility, equipment, or personnel costs, which is strictly prohibited by the '#' prefix.
- Confusing S248 with more complex anorectal surgical codes; ensure the procedure performed matches the manual dilation definition to avoid audit scrutiny for upcoding.
Billing Tips
- If an assistant is required, you must use M400B and provide a letter from the surgeon justifying the necessity of assistance, as S248 does not have an automatic assistant fee assigned.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
The '#' prefix indicates this service is subject to specific funding rules for premises, equipment, and supplies when performed in a hospital or Integrated Community Health Services Centre (ICHSC). See for details.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.