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S250
S250 – LIFT and/or ERAF for definitive repair of fistula
OHIP Urology Code · Schedule of Benefits
Ligation of intersphincteric fistula tract (LIFT) and/or endorectal advancement flap (ERAF) for definitive repair of rectum fistula.
When to Use
- Use S250 specifically for the definitive surgical repair of a complex fistula-in-ano using the LIFT technique or an ERAF procedure.
- Choose S250 over S251 when the operative plan is to close the tract definitively rather than performing a simple fistulotomy or placing a Seton drain.
Common Pitfalls
- Billing S250 alongside E676 is a common rejection, as S250 is explicitly excluded from the morbidly obese premium.
- Failing to append the E811 add-on code when operating on a recurrent fistula results in a significant loss of revenue for the increased complexity of the procedure.
- Attempting to bill a standard consultation or assessment on the same day as S250 will trigger a rejection unless it is clearly documented as the major pre-operative visit.
Billing Tips
- Ensure the operative report explicitly details the LIFT or ERAF technique, as this is the primary documentation requirement for audit compliance.
- Always verify if the fistula is recurrent; if so, append E811 to increase the S250 fee by 25%.
Provider Fee$339.50
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Service Type
Surgical Procedure
Code Classes
Surgery
Must be for definitive repair of the fistula tract.
Requires documentation of the procedure (LIFT or ERAF) in the operative report.
S250 is not eligible for virtual care (video or telephone).
The major pre-operative visit is not included in the surgical fee and may be claimed separately.
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