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S307
S307 – Pancreatic cyst - jejunostomy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S307 is the fee schedule code for the surgical repair of a pancreatic cyst via jejunostomy. This procedure involves creating an anastomosis between the pancreatic cyst and the jejunum. The fee listed is for the primary surgeon (suffix A). Fees for a surgical assistant (suffix B) and an anaesthesiologist (suffix C) are calculated based on basic and time units.
When to Use
- Use S307 specifically for the internal drainage of a pancreatic cyst via a formal Roux-en-Y or direct jejunostomy anastomosis.
- Select S307 when the procedure is performed as a definitive open surgical management of a symptomatic pseudocyst, rather than percutaneous drainage (which would be billed under radiology codes).
Common Pitfalls
- Billing S307 alongside other major abdominal procedures without ensuring the claim reflects the correct multiple procedure rules (e.g., 100% for the primary and 50% for secondary procedures).
- Failing to append the correct after-hours premiums (E409A or E410A) when the surgery is non-elective and performed outside standard daytime hours.
Billing Tips
- Ensure the operative report clearly describes the anastomosis to the jejunum to support the use of S307 over simpler drainage codes like S306 (pancreatic cyst - external drainage).
- Always verify if the patient meets the criteria for the E420 trauma premium if the cyst is being managed as a result of acute pancreatic trauma within 24 hours.
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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