S325 – Omentopexy
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Omentopexy - as sole operative procedure. This is a surgical procedure listed in the Digestive System section of the Schedule. The phrase 'as sole operative procedure' indicates that this code should be used when omentopexy is the only surgical intervention performed during an operative session. This service is eligible for payment to the surgeon (suffix A), and when required, a surgical assistant (suffix B) and an anaesthetist (suffix C). - Surgical Assistant (suffix B): The service is allotted 6 basic units (:). The total fee is calculated by adding the 6 basic units to the applicable time units (as per rules on :) and multiplying by the unit fee for assistants (:). - Anaesthesia (suffix C): The service is allotted 7 basic units (:). The total fee is calculated by adding the 7 basic units to the applicable time units (as per rules on :) and multiplying by the anaesthesiologist unit fee (:).
When to Use
- Use S325 when performing an isolated omentopexy to secure the omentum to a specific organ or site as the sole surgical intervention.
- Use this code for omentopexy procedures performed to manage complications like gastric volvulus or to provide vascular support when no other major surgical procedure is billed during the same session.
Common Pitfalls
- Billing S325 alongside other major digestive system surgical procedures will result in a rejection, as the code is strictly defined as a 'sole operative procedure'.
- Failing to document the specific clinical indication for the omentopexy can lead to audit scrutiny, as it is often performed as an adjunct to other procedures which would invalidate the use of S325.
Billing Tips
- Ensure that if an assistant or anaesthetist is required, you utilize the correct basic units (6 for assistant, 7 for anaesthetist) and apply the appropriate time units as per the General Preamble rules for surgical procedures.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
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