S345 – Massive sliding inguinal hernia
OHIP Urology Code — DIGESTIVE SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of a massive sliding inguinal hernia. This procedure addresses large inguinal hernias where a portion of the wall of an intra-abdominal organ (such as the colon or bladder) forms a part of the hernial sac. - Surgeon (Suffix A): The fee for the surgeon is a set amount for the procedure. - Assistant (Suffix B): Payment for an assistant is calculated based on 6 basic units (as listed in the Schedule) plus time units. See , . - Anaesthetist (Suffix C): Payment for an anaesthetist is calculated based on 7 basic units (as listed in the Schedule) plus time units. See , .
When to Use
- Use S345 specifically for inguinal hernia repairs where the wall of an intra-abdominal organ, such as the colon or bladder, is incorporated into the hernial sac.
- Select S345 over standard inguinal hernia repair codes like S322 or S326 when the surgical complexity involves the reduction or mobilization of a sliding viscus.
Common Pitfalls
- Billing E726 (recurrent hernia repair) in conjunction with S345 is strictly prohibited by the Schedule of Benefits and will result in a claim rejection.
- Assuming automatic eligibility for a second assistant; S345 is not on the pre-approved list, requiring a formal letter of justification to the Ministry for payment.
- Confusing S345 with standard hernia codes; ensure the operative report explicitly documents the sliding component to justify the higher fee associated with this code.
Billing Tips
- If the procedure is performed after hours, ensure you apply the correct premium (E409 or E410) to the surgeon's fee, while using the corresponding assistant (E400B/E401B) and anaesthetist (E400C/E401C) premiums.
Effective: April 1, 2026
S. Digestive System Surgical Procedures
DIGESTIVE SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
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