All codes
S448
S448 – Ureterotomy, lower 1/3
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Surgical incision into the lower one-third of the ureter, specifically in cases where the ureter has been previously opened.
When to Use
- Use S448 for a surgical incision into the lower third of the ureter specifically when the site has been previously opened, such as for the removal of a retained stent or secondary exploration.
- Use this code for secondary ureterotomy procedures where the primary surgical approach to the lower ureter has already been established.
Common Pitfalls
- Billing S448 for a primary ureterotomy; primary procedures should be billed under the appropriate primary surgical code rather than this secondary-intent code.
- Attempting to bill S448 in conjunction with other major urological procedures on the same ureteral segment without clear documentation of distinct surgical sites or separate incisions, which may trigger a rejection for unbundling.
Billing Tips
- Ensure the operative report explicitly mentions the previous opening or the secondary nature of the ureterotomy to justify the use of this specific code over primary surgical alternatives.
Provider Fee$522.50
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Urogenital and Urinary Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.