What is OHIP billing code S268?

S268 is "Insertion of implantable pump for continuous liver perfusion", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S268 pay?

The current OHIP fee for S268 is $604.95, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S268 to OHIP?

S268 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S268 claims against the Schedule of Benefits rules before submission.

What codes are related to S268?

Codes related to S268 in the Schedule of Benefits include Z554, Z551, S269, S275, S270, S267, S271, S272.

All codes

S268

S268 – Insertion of implantable pump for continuous liver perfusion

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

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S268 is a surgical procedure for the insertion of an implantable pump for continuous liver perfusion. This service is eligible for surgeon (suffix A), assistant (suffix B), and anaesthesiologist (suffix C) billing. The assistant and anaesthetist fees are calculated based on 7 base units plus time units. The procedure is eligible for various add-on premiums, including those for age, after-hours services, and trauma cases as detailed in the General Preamble.

When to Use

Use S268 specifically for the primary surgical insertion of an implantable pump system designed for continuous hepatic artery infusion or liver perfusion.
Select S268 when the procedure is performed as a standalone surgical intervention for pump placement, distinct from the subsequent maintenance or revision procedures like S269.

Common Pitfalls

Failure to document the Injury Severity Score (ISS) in the medical record when claiming the E420 trauma premium, which leads to automatic rejection of the premium.
Incorrectly billing S268 alongside other liver surgical procedures without verifying if the other codes are considered inclusive or require a 'multiple procedure' reduction under the General Preamble.
Confusing S268 with S269; S268 is for the initial insertion, whereas S269 is intended for the revision or replacement of the pump system.

Billing Tips

Ensure the anaesthesiologist includes the E022C premium if the patient meets ASA III criteria, as this adds 2 units to the base calculation beyond the standard 7 base units.
When billing for the surgical assistant (suffix B), ensure the claim reflects the 7 base units plus the documented time units, applying the appropriate after-hours premium (E400B or E401B) only if the procedure start time meets the specific hourly thresholds.

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Provider Fee$604.95

Surgical Assistant Fee$87.57

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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