What is OHIP billing code S317?

S317 is "Umbilectomy - plastic", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S317 pay?

The current OHIP fee for S317 is $111.45, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill S317 to OHIP?

S317 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S317 claims against the Schedule of Benefits rules before submission.

All codes

S317

S317 – Umbilectomy - plastic

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

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Umbilectomy is a surgical procedure involving the plastic excision of the navel (umbilicus). This service is eligible for surgeon, assistant, and anaesthetist fees. The fees for the assistant (S317B) and anaesthetist (S317C) are calculated based on base units plus time-based units.

When to Use

Use S317 for the surgical excision of the umbilicus when performed as a distinct plastic procedure, such as for umbilical reconstruction or correction of umbilical deformity.
Use this code for umbilical excision secondary to pathology or aesthetic revision, provided the procedure meets the definition of a plastic excision rather than a simple excision of a lesion.

Common Pitfalls

Do not bill S317 in conjunction with umbilical hernia repair codes, as the excision is typically considered an integral part of the hernia repair and not a separate procedure.
Avoid billing S317 for simple skin lesion removals on the umbilicus, which should be coded under the appropriate skin excision codes (e.g., S060 series) based on size and complexity.
Failure to document the specific plastic nature of the procedure can lead to audit reclassification to a lower-valued lesion excision code.

Billing Tips

Ensure the operative report clearly details the plastic surgical technique used to justify the use of S317 over standard excision codes.
If the procedure is performed on a pediatric patient, verify the age-based premium eligibility (e.g., AGE_PREMIUM_UNDER_16_YEARS) and append it to the claim to ensure the 10-30% fee increase is captured.

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Provider Fee$111.45

Surgical Assistant Fee$75.06

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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