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S441
S441 – Creation of continent urinary diversion
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Creation of a continent urinary diversion. This is a major surgical procedure typically involving the use of intestinal segments to create a new reservoir for urine, which the patient can empty intermittently, thereby avoiding the need for an external appliance.
When to Use
- Use S441 for the definitive creation of a continent urinary reservoir (e.g., Indiana pouch or Kock pouch) following cystectomy.
- Select S441 when the procedure involves the reconfiguration of intestinal segments to provide a self-catheterizable continent outlet, distinguishing it from simple conduit procedures like S440.
Common Pitfalls
- Billing S441 in conjunction with other major bladder or bowel resections without ensuring the claim reflects the primary procedure, as OHIP may flag multiple major surgical codes for the same operative session.
- Failing to document the specific type of continent diversion performed, which can lead to audit scrutiny if the claim is reviewed against the complexity of the intestinal reconstruction.
Billing Tips
- Ensure that if a second surgical assistant is required for this complex reconstruction, you bill the second assistant's service separately, as it is eligible for payment without prior consultant authorization.
Provider Fee$1,086.45
Surgical Assistant Fee$116.19
Anaesthetist Fee$239.40
Non-Anaesthetist Fee$239.40
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
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