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S301

S301Local complete excision of tumour or lesion

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

S301 represents the surgical procedure for the local and complete excision of a pancreatic tumour or lesion. This fee code is eligible for surgeon, assistant, and anaesthetist claims. A 25% premium is applicable when performed laparoscopically or with laparoscopic assistance, claimed using E793.

When to Use

  • Use S301 for the definitive local excision of a benign or malignant pancreatic lesion when a formal resection (e.g., Whipple or distal pancreatectomy) is not performed.
  • Select S301 when performing an enucleation of a small, well-defined pancreatic neuroendocrine tumour where the surrounding pancreatic parenchyma is preserved.

Common Pitfalls

  • Do not bill S301 for a formal pancreatic resection; use the appropriate pancreatic resection codes (e.g., S305, S306) to avoid rejection for incorrect procedure scope.
  • Failure to append E793 when the procedure is performed laparoscopically will result in an underpayment of the 25% premium.

Billing Tips

  • Ensure the operative report explicitly describes the 'local' and 'complete' nature of the excision to support the use of S301 over more extensive surgical codes.
  • When performing this procedure after hours, confirm the case start time meets the criteria for E409 or E410 to maximize the procedural fee.
Provider Fee$579.10
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

Referral RequiredFrom: Physician, NursePractitioner, DentalSurgeon

All insured services must be documented in appropriate medical records, establishing that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary.

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