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S306
S306 – Pancreatic cyst - duodenostomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S306 is an insured surgical procedure for the repair of a pancreatic cyst via duodenostomy. This service is listed in the Digestive System Surgical Procedures section of the Schedule of Benefits. Payment is made to the surgeon (suffix A), and where applicable, to a surgical assistant (suffix B) and an anaesthesiologist (suffix C). Assistant and anaesthesia fees are calculated based on basic and time units.
When to Use
- Use S306 for the surgical internal drainage of a symptomatic pancreatic pseudocyst into the duodenum.
- Select S306 when the procedure involves a formal duodenostomy approach to the cyst, distinguishing it from percutaneous drainage or endoscopic cystogastrostomy.
Common Pitfalls
- Billing S306 alongside endoscopic procedures (e.g., E793) for the same cyst is generally considered unbundling; ensure the surgical approach is distinct and documented.
- Failure to document the specific anatomical approach (duodenostomy) can lead to audit reclassification to a less specific or lower-valued digestive procedure code.
Billing Tips
- Ensure the surgical assistant (S306B) and anaesthesiologist (S306C) claims reflect the 8 basic units assigned to this procedure in their respective time-unit calculations.
Provider Fee$589.95
Surgical Assistant Fee$100.08
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
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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