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S318 – Panniculectomy

OHIP Digestive System Surgical Procedures Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Panniculectomy, including any necessary diastasis repair. This procedure is the surgical removal of a panniculus (an apron of skin and fat from the lower abdomen). Notes: • Panniculectomy is only insured in those circumstances described in Appendix D of this Schedule. Prior authorization of payment from the MOH is required. • S318 is not eligible for payment when performed in conjunction with abdominal or pelvic procedures unless the payment requirements for panniculectomy are separately fulfilled. Commentary: • In circumstances where the proposed panniculectomy surgery may include excision of a panniculus that extends below the mid thigh, the requesting physician must provide sufficient information with the request for prior authorization of payment. • Abdominoplasty is not an insured service.
Pre-authorization required
In circumstances where the proposed panniculectomy surgery may include excision of a pannus that extends below the mid thigh, the requesting physician must provide sufficient information with the request for prior authorization of payment.

Panniculectomy is only insured in those circumstances described in Appendix D of this Schedule. Prior authorization of payment from the MOH is required.

S318 is not eligible for payment when performed in conjunction with abdominal or pelvic procedures unless the payment requirements for panniculectomy are separately fulfilled.

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