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S461
S461 – Ureteroplasty (Hutch) - unilateral
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
S461 is a unilateral Ureteroplasty (Hutch) procedure. This service is eligible for assistant and anaesthesia fees, which are calculated based on 6 base units plus time units. See the Surgical Assistants' Services section starting on and the Anaesthesiologists' Services section starting on for detailed calculation rules.
When to Use
- Use S461 for a unilateral ureteroneocystostomy (Hutch procedure) performed to correct vesicoureteral reflux.
- Use this code specifically when the procedure is limited to one side; for bilateral procedures, you must bill S460 instead.
Common Pitfalls
- Billing S461 and S460 on the same claim is a common error; these codes are mutually exclusive and represent unilateral versus bilateral procedures.
- Failing to apply the appropriate age-based premium for pediatric patients under 16, which is a mandatory percentage increase for this surgical code.
Billing Tips
- Ensure the operative report clearly specifies the unilateral nature of the Hutch procedure to support the use of S461 over the bilateral S460.
- If the procedure is performed after hours or for trauma, ensure the corresponding premium (E409/E410 or E420) is submitted on the same claim to capture the full eligible fee.
Provider Fee$355.60
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
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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