S298 – Complete with splenectomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S298 represents a complete pancreatectomy, which is the surgical removal of the entire pancreas, performed in conjunction with a splenectomy, the removal of the spleen. This is a major abdominal surgical procedure. The fee for this service includes the surgeon's work, and separate calculations apply for anaesthesia and surgical assistance based on basic and time units.
When to Use
- Use S298 for a total pancreatectomy performed in conjunction with a splenectomy, which is the inclusive surgical code for this combined procedure.
- Select S298 over S299 when the procedure specifically involves the complete removal of the pancreas and the spleen, rather than a partial resection or alternative pancreatic surgery.
Common Pitfalls
- Failure to append the E793 premium when the procedure is performed laparoscopically, as this is a distinct, eligible add-on for S298.
- Incorrectly billing for a separate splenectomy procedure code when the splenectomy is performed as part of the S298 pancreatectomy, as the splenectomy is already included in the S298 fee.
Billing Tips
- Ensure that if a second assistant is utilized, it is billed as a separate claim line, as S298 explicitly allows for a second assistant without prior medical consultant authorization.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services, Age-Based Fee Premiums
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