S434 – Kidney re-transplant
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the re-transplantation of a kidney. All claims for this procedure must be submitted under the recipient's health number. - **Assistant Service (S434B):** Eligible for payment with 9 basic units plus time units as per the rules on pages -. - **Anaesthesia Service (S434C):** Eligible for payment with 13 basic units plus time units as per the rules on pages -. - **Team Fee (E771):** May be claimed in addition to the surgical fee, but is not payable if assistant fees are also billed. Note: These fees do not include immunosuppressive therapy, which is claimed on a fee-for-service basis. For nephrological components, see the Diagnostic and Therapeutic Procedures section of the Schedule.
When to Use
- Use S434 specifically for the surgical re-transplantation of a kidney into a recipient who has previously undergone a kidney transplant.
- Use this code for the primary surgical fee; do not use general urological codes for this specific procedure.
Common Pitfalls
- Billing both the surgical assistant fee (S434B) and the team fee (E771) on the same claim will result in an automatic rejection of the team fee.
- Assuming automatic eligibility for a second surgical assistant; S434 requires a formal letter of justification to the medical consultant for approval of a second assistant.
- Failing to document the Injury Severity Score (ISS) in the medical record when attempting to claim the E420 trauma premium.
Billing Tips
- Choose between claiming the surgical assistant fee (S434B) or the team fee (E771) based on which provides a higher total reimbursement for your specific surgical team structure.
- Ensure that after-hours premiums (E409 or E410) are only applied to non-elective procedures or elective cases delayed by an intervening surgical emergency.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Urogenital and Urinary Surgical Procedures
Submit on recipient's claim.
These fees do not include immunosuppressive therapy which is on a fee-for-service basis.
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