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S272
S272 – Laparotomy, cholangiogram and biopsy (neonatal jaundice)
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure consists of a laparotomy (an incision into the abdominal wall), a cholangiogram (an X-ray of the bile ducts), and a liver biopsy. It is specifically indicated for the investigation of neonatal jaundice. This procedure can be performed laparoscopically or with laparoscopic assistance, which qualifies for a 25% premium using billing code E793A.
When to Use
- Use S272 for the diagnostic investigation of persistent neonatal jaundice where a laparotomy, cholangiogram, and liver biopsy are performed as a single operative session.
- Use this code when the clinical objective is to rule out biliary atresia in a neonate under 28 days old.
Common Pitfalls
- Do not bill S272 in conjunction with individual biopsy codes like S265 or S266, as the biopsy is already included in the S272 procedural fee.
- Failure to apply the 30% age premium for patients under 30 days is a common revenue loss, as this is a mandatory adjustment for this specific age group.
Billing Tips
- Ensure you append E793A to your claim if the procedure was performed laparoscopically to capture the 25% premium, as it is not automatically calculated by the base code.
- Always verify that the patient's age is within the 0-28 day window at the time of service to ensure the 30% age premium is triggered correctly on the claim.
Provider Fee$387.40
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
Age Restriction
For neonatal jaundice
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