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S343
S343 – Secondary closure for evisceration - sole operative procedure in abdomen
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
S343 is a surgical procedure for the secondary closure of the abdomen for evisceration. A key condition for this code, as stated in the Schedule on page (), is that it must be the 'sole operative procedure in abdomen'. This means no other surgical procedures within the abdomen can be billed for the same surgical session.
When to Use
- Use S343 when performing a secondary closure of an abdominal wound specifically for evisceration as the sole surgical intervention.
- This code is appropriate when the procedure is limited to the closure of the evisceration and does not involve additional abdominal exploration or repair of underlying structures.
Common Pitfalls
- Billing S343 in conjunction with any other abdominal surgical procedure will result in an automatic rejection, as it is strictly defined as the sole operative procedure.
- Attempting to use S343 for routine wound debridement or primary closure of a standard surgical incision is incorrect and constitutes a billing error.
Billing Tips
- Ensure the operative report explicitly confirms that no other abdominal procedures were performed during the same session to support the 'sole operative procedure' requirement.
- If the patient meets the criteria for trauma (ISS > 15 for adults or > 12 for children), apply the E420 trauma premium to maximize the claim value.
Provider Fee$350.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
S. Digestive System Surgical Procedures
Subcategory
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
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