S329 – Strangulated or incarcerated inguinal or femoral hernia - without resection of bowel
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Provides for the surgical repair of a strangulated or incarcerated inguinal and/or femoral hernia. This service is performed when there is no associated resection of the bowel required. See S330 for the equivalent procedure with bowel resection. As a procedure for a strangulated or incarcerated hernia, it is considered non-elective.
When to Use
- Use S329 when performing an urgent or emergent repair of an incarcerated or strangulated inguinal or femoral hernia where the bowel is viable and does not require resection.
- Use S329 for non-elective hernia repairs where the clinical documentation confirms incarceration or strangulation, distinguishing it from elective hernia repairs like S322 or S326.
Common Pitfalls
- Billing S329 when bowel resection is performed; if resection occurs, you must use S330 instead to avoid claim rejection or audit discrepancies.
- Attempting to bill a second surgical assistant without prior authorization; S329 is not on the pre-approved list for multiple assistants per GP90.
- Failing to document the specific clinical findings of incarceration or strangulation, which are mandatory to justify the non-elective nature of the S329 fee.
Billing Tips
- If the procedure is performed after hours, ensure you append the appropriate E409 or E410 premium to the S329 base fee to capture the non-elective surgical uplift.
- When repairing a recurrent hernia that is also incarcerated, you may stack the E725 add-on fee with S329, provided the recurrence criteria are met.
Effective: April 1, 2025
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
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