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S266
S266 – Living donor, orthotopic liver transplant
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This fee code applies to the complete surgical procedure of performing an orthotopic liver transplant. This involves implanting a liver graft, obtained from a living donor, into the recipient. The fee is applicable for the surgeon (suffix A), assistant (suffix B), and anaesthesiologist (suffix C). The service includes pre-operative evaluation, the anaesthetic procedure, and post-anaesthetic follow-up as described in the Schedule.
When to Use
- Use S266 specifically for the implantation of a liver graft from a living donor into the recipient.
- Use S266 for the primary surgical procedure; do not use it for the donor hepatectomy, which is billed under separate surgical codes.
Common Pitfalls
- Attempting to bill S266 for a deceased donor transplant, which requires different surgical codes such as S265.
- Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium, leading to automatic rejection.
- Incorrectly applying after-hours premiums (E409, E410) to elective procedures that were not delayed by an intervening surgical emergency.
Billing Tips
- Ensure the appropriate suffix (A for surgeon, B for assistant, C for anaesthesiologist) is appended to S266 to ensure correct fee distribution.
- When billing for pediatric recipients, remember that age-based premiums (e.g., AGE_PREMIUM_UNDER_16_YEARS) apply automatically to the surgeon and assistant fees but not to the anaesthesiologist's base fee.
Provider Fee$6,023.10
Surgical Assistant Fee$322.75
Anaesthetist Fee$558.60
Non-Anaesthetist Fee$558.60
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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