Question 1

What is OHIP billing code S405?

Accepted Answer

S405 is "Nephrolithotomy or pyelolithotomy", an OHIP Urogenital and Urinary Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does S405 pay?

Accepted Answer

The current OHIP fee for S405 is $603.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill S405 to OHIP?

Accepted Answer

S405 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S405 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to S405?

Accepted Answer

Codes related to S405 in the Schedule of Benefits include S401, S402, S403, S400, S408, S430.

S405 – Nephrolithotomy or pyelolithotomy

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