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S282
S282 – Cholecystogastrostomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Cholecystogastrostomy is a surgical procedure that creates an artificial connection between the gallbladder and the stomach. This service is classified under the Digestive System Surgical Procedures section of the Schedule.
When to Use
- Use S282 for the surgical creation of a cholecystogastrostomy when performing biliary bypass for unresectable malignant biliary obstruction.
- Use this code for palliative biliary drainage procedures where a cholecystojejunostomy (S283) is not anatomically feasible or indicated.
Common Pitfalls
- Do not bill S282 in conjunction with cholecystectomy codes, as the procedure is inherently a bypass, not an excision.
- Avoid billing S282 if the primary intent is a cholecystojejunostomy (S283); ensure the anatomical connection documented matches the code billed to prevent audit discrepancies.
Billing Tips
- Ensure the operative report explicitly details the anastomosis between the gallbladder and the stomach to support the use of S282 over other biliary bypass codes.
- If the procedure is performed on an emergency basis, verify that the start time is documented to correctly apply after-hours premiums like E409 or E410.
Provider Fee$447.45
Surgical Assistant Fee$87.57
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
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