S294 – Deceased donor, liver transplant
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S294 represents the transplantation of a liver from a deceased donor. The fee for this service covers the surgical procedure performed by the primary surgeon. Separate calculations and claims are applicable for surgical assistant (S294B) and anaesthesiologist (S294C) services, based on the basic and time units specified in the Schedule of Benefits.
When to Use
- Use S294 as the primary surgical fee when performing a liver transplant from a deceased donor.
- Use S294 when the procedure involves the full transplantation process, ensuring it is not confused with partial liver procedures like S295.
Common Pitfalls
- Billing S294 in conjunction with a cholecystectomy is prohibited if the transplant involves liver segments #4 or #5, leading to automatic claim rejection.
- Failing to bill E765 as a separate line item when hepatic artery reconstruction or conduit repair is performed during the same operative session results in lost revenue.
- Incorrectly billing S294 for living donor procedures, which fall under different surgical codes.
Billing Tips
- Always ensure the surgical assistant (S294B) and anaesthesiologist (S294C) are billed as separate claims to capture the full value of the operative team's services.
- Verify that the hepatic artery repair is explicitly documented in the operative report to justify the addition of E765 to the S294 claim.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
Cholecystectomy is not eligible for payment in conjunction with liver lobectomy involving liver segments #4 and/or #5, or formal anatomic resection involving liver segments #4 and/or #5.
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