S332 – Umbilical hernia repair - adolescent or adult
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of an umbilical hernia for an adolescent or adult patient, with or without resection of incarcerated/strangulated contents. An adolescent is defined as a person 16 or 17 years of age, and an adult is a person 18 years of age and older, as per definitions on . This procedure is listed under the Herniotomy subheading within the Digestive System Surgical Procedures section of the Schedule of Benefits.
When to Use
- Use S332 for the primary surgical repair of an umbilical hernia in patients aged 16 or older.
- Use S332 when performing an umbilical hernia repair that involves the resection of incarcerated or strangulated contents, as this is included in the base fee.
- Use S332 in conjunction with E764 when the umbilical hernia repair is performed as an incidental or secondary procedure during a different major abdominal surgery, provided the hernia was pre-existing and documented.
Common Pitfalls
- Billing S332 for patients under 16 years of age, which will result in a rejection; use the appropriate pediatric hernia code instead.
- Attempting to bill E725 for a primary hernia repair; this add-on is strictly reserved for recurrent hernias and requires clear documentation of the prior repair.
- Failing to document the pre-existing nature of the umbilical hernia when billing E764, which is a common audit trigger for concurrent abdominal procedures.
Billing Tips
- Always append the E725 add-on code to S332 if the operative report confirms the procedure is a repair of a recurrent hernia.
- Ensure the operative report explicitly notes the presence of incarceration or strangulation if applicable, as this supports the clinical necessity of the procedure and potential after-hours premiums.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
Payable for adolescents (16-17 years) and adults (18+ years).
The fee for an assistant (suffix B) is calculated based on 6 base units plus time units. The assistant unit fee is $12.51. See and for calculation rules.
The fee for an anaesthetist (suffix C) is calculated based on 6 base units plus time units. The anaesthesiologist unit fee is $15.49. See and for calculation rules.
Anaesthesia extra units for age (e.g., E007C, E018C), BMI (E010C), patient position (E011C), ASA status (E022C, E017C, E016C), or other conditions may apply to the anaesthetist's service (S332C) as per .
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