All codes
S291
S291 – Choledochectomy for tumour
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Choledochectomy for tumour is the surgical excision of the common bile duct to remove a tumour. According to the note on page :, for any required reconstruction, refer to billing code S281.
When to Use
- Use S291 for the primary surgical excision of the common bile duct specifically for the removal of a tumour.
- Use S291 when the procedure is limited to the choledochectomy; if reconstruction is performed, S281 must be billed as a separate, additional procedure.
Common Pitfalls
- Billing S291 as a comprehensive code that includes reconstruction; you must bill S281 separately for any biliary reconstruction performed.
- Failing to document the specific pathological indication (tumour) which is required to justify the use of S291 over other biliary duct procedures.
Billing Tips
- Always pair S291 with S281 on the same claim if reconstruction occurs, ensuring both are clearly identified to avoid rejection for unbundling or missing components.
Provider Fee$463.25
Surgical Assistant Fee$103.28
Anaesthetist Fee$127.68
Non-Anaesthetist Fee$127.68
Effective: April 1, 2026
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
* For reconstruction, refer to S281.
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