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S436

S436Donor nephrectomy

OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits

S436 is for a donor nephrectomy, either unilateral or bilateral, including renal perfusion with hypothermia when rendered by the surgeon. Claims must be submitted on the recipient's health number as per the note on :. It is eligible for add-on premiums E753 for a live donor and E792 for laparoscopic performance. The fee is payable with suffixes A (surgeon), B (assistant), and C (anaesthetist).

When to Use

  • Use S436 for the surgical removal of a kidney from a living donor intended for transplantation into a recipient.
  • Use S436 when performing the nephrectomy procedure, which explicitly includes the renal perfusion with hypothermia component if performed by the surgeon.

Common Pitfalls

  • Submitting the claim under the donor's health number instead of the recipient's health number, which is a mandatory requirement for this code.
  • Failing to include the E753 live donor premium when applicable, or incorrectly assuming it is bundled into the base S436 fee.

Billing Tips

  • Always append E792 to the claim if the nephrectomy is performed laparoscopically to secure the 25% increase on the surgeon's fee.
  • Ensure the recipient's health number is used for all associated surgical assistant (suffix B) and anaesthetist (suffix C) claims to maintain consistency with the primary S436 submission.
Provider Fee$700.30
Surgical Assistant Fee$90.37
Anaesthetist Fee$127.68
Non-Anaesthetist Fee$127.68

Effective: April 1, 2026

Category

T. Urogenital and Urinary Surgical Procedures

Subcategory

UROGENITAL AND URINARY SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Urogenital and Urinary Surgical Procedures

Submit on recipient's claim.

Note: These fees do not include immunosuppressive therapy which is on a fee-for-service basis.

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