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S287
S287 – Cholecystectomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Cholecystectomy is the surgical removal of the gallbladder. This service is eligible for payment to the surgeon (suffix A), assistant (suffix B), and anaesthesiologist (suffix C). Additional procedures can be billed as add-ons, including E721 (with choledochotomy), E722 (with transduodenal sphincterotomy), E728 or E729 (with vagotomy), and E794 (with intra-operative cholangiogram).
When to Use
- Use S287 for a standard cholecystectomy, whether performed via open or laparoscopic approach, as the base fee covers the primary procedure.
- Select S287 when performing a cholecystectomy in conjunction with an intra-operative cholangiogram, ensuring E794 is billed as an add-on to capture the additional work.
Common Pitfalls
- Billing E704 without E721 will result in an automatic rejection, as E704 is strictly defined as an add-on to the combination of S287 and E721.
- Attempting to bill S287 with other major abdominal procedures without checking for 'Not Allowed' or 'Reduced' combinations in the Schedule of Benefits often leads to claim adjustments.
Billing Tips
- Always append the appropriate suffix (A for surgeon, B for assistant, C for anaesthesiologist) to ensure the claim is processed against the correct fee schedule for that provider role.
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