S308 – Pancreas transplant
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Represents the surgical procedure for a pancreas transplant. Payment for the surgeon (suffix A) is a flat fee. Payment for the surgical assistant (suffix B) is calculated from 20 basic units plus time units (). Payment for the anaesthetist (suffix C) is calculated from 30 basic units plus time units (). A second surgical assistant is payable for this procedure without prior authorization (). This service is eligible for various premiums, including those for patient age (), after-hours non-elective procedures (), and severe trauma ().
When to Use
- Use S308 for the primary surgeon performing a pancreas transplant, ensuring the suffix 'A' is appended to the claim.
- Use S308 when the surgical team includes a second assistant, as this specific procedure allows for a second assistant (suffix B) without requiring prior OHIP authorization.
Common Pitfalls
- Failing to apply the 15% age premium for patients 65 years or older, which is a specific eligibility rule for S308 under GP64.
- Incorrectly calculating the assistant (suffix B) or anaesthetist (suffix C) fees by omitting the mandatory time units defined in GP85 and GP92 respectively.
Billing Tips
- Always verify that the claim includes the appropriate suffix (A, B, or C) to ensure the system correctly applies the flat fee or the unit-based calculation for assistants and anaesthetists.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
A second assistant's service is eligible for payment for S308 and authorization is not required.
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