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S267

S267Hepatectomy, three or four liver segments

OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Formal anatomical resection of three or four liver segments. This is a major excisional surgical procedure performed on the liver.

When to Use

  • Use S267 for formal anatomical resections involving exactly three or four liver segments, such as a formal trisegmentectomy.
  • Choose S267 when the procedure involves a formal anatomical approach as opposed to a simple wedge resection or non-anatomical excision.

Common Pitfalls

  • Billing S267 concurrently with a cholecystectomy will result in a rejection, as the cholecystectomy is considered bundled when segments #4 or #5 are involved.
  • Incorrectly billing S267 for minor liver resections or wedge excisions, which should be coded under different, lower-valued surgical codes.

Billing Tips

  • If the procedure is performed laparoscopically or with laparoscopic assistance, ensure you append the E793 premium to receive the 25% fee increase.
  • Always verify the patient's age at the time of surgery to apply the appropriate age-based premium, as these are significant percentage add-ons to the base fee.
Provider Fee$1,885.55
Surgical Assistant Fee$154.92
Anaesthetist Fee$191.52
Non-Anaesthetist Fee$191.52

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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