What is OHIP billing code S316?

S316 is "Excision of full thickness abdominal wall tumour and primary closure", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How do I bill S316 to OHIP?

S316 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S316 claims against the Schedule of Benefits rules before submission.

All codes

S316

S316 – Excision of full thickness abdominal wall tumour and primary closure

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

Ask AI Bill This Code — Sign Up Free

This procedure involves the surgical removal of a tumour that extends through the full thickness of the abdominal wall, followed by primary closure of the resulting defect. As per , claims for services designated as Independent Consideration (IC) must be submitted with a supporting letter explaining the fee amount claimed. This letter should include an operative or consultation report and a comparison of the procedure's scope and difficulty relative to other non-IC procedures in the Schedule.

When to Use

Use S316 for the excision of a primary abdominal wall tumour (e.g., desmoid tumour) that requires full-thickness resection and primary closure, distinguishing it from superficial skin or subcutaneous lesions billed under S000-series codes.
Use S316 when the procedure involves a full-thickness defect that is closed primarily, rather than complex reconstructions involving mesh or flaps which may warrant different coding or additional fee consideration.

Common Pitfalls

Failing to submit the mandatory letter of explanation and operative report for this IC (Independent Consideration) code will result in an automatic rejection or a default payment that does not reflect the complexity of the resection.
Billing S316 for simple subcutaneous lipoma or cyst excisions is an audit risk; ensure the operative report clearly documents the full-thickness nature of the abdominal wall involvement.
Assuming a second surgical assistant is automatically covered; S316 is not on the pre-approved list, and you must obtain prior authorization and provide a letter of justification to avoid assistant fee rejection.

Billing Tips

When drafting your letter of explanation for the IC fee, explicitly compare the time and complexity of your S316 case to a standard, non-IC abdominal wall procedure to justify the requested amount.
If the procedure is performed as an emergency, ensure the trauma premium (E420) or after-hours premiums (E409/E410) are submitted on the same claim to capture the full value of the service.

Have a specific question? Ask our billing assistant

No fee information available.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in