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S270
S270 – Hepatectomy, one or two liver segments
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A formal anatomical resection involving the excision of one or two segments of the liver. This procedure is typically performed for the removal of lesions or tumours and is categorized under Hepatectomy.
When to Use
- Use S270 for a formal anatomical resection of one or two liver segments, such as a segmentectomy or bisegmentectomy, for primary or metastatic liver malignancy.
- Use S270 when performing a formal anatomical resection that does not meet the criteria for a more extensive procedure like a lobectomy (S271) or trisegmentectomy (S272).
Common Pitfalls
- Billing a cholecystectomy concurrently with S270 is strictly prohibited if the resection involves segments #4 or #5, as these are considered bundled.
- Attempting to bill S270 alongside more extensive liver resections (e.g., S271 or S272) will result in a rejection for duplicate or overlapping surgical services.
Billing Tips
- Ensure the E793 laparoscopic premium is appended if the resection is performed laparoscopically, as it is explicitly eligible for this code.
- Document the specific liver segments resected in the operative report to justify the use of S270 over other hepatic surgical codes in the event of an audit.
Provider Fee$1,426.05
Surgical Assistant Fee$150.12
Anaesthetist Fee$185.88
Non-Anaesthetist Fee$185.88
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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