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S297

S297Drainage of acute pancreatitis or abscess or marsupialization of cyst

OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Drainage of acute pancreatitis or abscess or marsupialization of cyst. This is a surgical procedure listed in the Digestive System section of the Schedule of Benefits.

When to Use

  • Use S297 for the surgical drainage of a pancreatic abscess or the marsupialization of a pancreatic pseudocyst when performed as a distinct procedure.
  • Select S297 when performing an open drainage of a localized intra-abdominal abscess that is not more specifically described by other digestive system codes.

Common Pitfalls

  • Billing S297 in addition to a more comprehensive procedure (e.g., a formal resection or major pancreatic surgery) will trigger the multiple procedure rule, reducing the secondary code to 85% of its value.
  • Failure to document the specific nature of the drainage (e.g., abscess vs. cyst) can lead to audit scrutiny regarding the medical necessity of the procedure compared to percutaneous drainage alternatives.

Billing Tips

  • If the procedure is performed after hours, ensure you apply the correct E409 or E410 premium to the procedural fee, provided the case meets the non-elective criteria.
  • When multiple procedures are performed during the same operative session, always list S297 as the secondary procedure if another code carries a higher base fee to ensure the 85% reduction applies to the lower-valued service.
Provider Fee$406.85
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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