What is OHIP billing code S462?

S462 is "Ureterointestinal anastomosis - bilateral", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S462 pay?

The current OHIP fee for S462 is $469.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill S462 to OHIP?

S462 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S462 claims against the Schedule of Benefits rules before submission.

All codes

S462

S462 – Ureterointestinal anastomosis - bilateral

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

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S462 is an unspecified surgical procedure from the Surgical Procedures section of the Schedule. It is billable by the surgeon (suffix A), first surgical assistant (suffix B), and anaesthetist (suffix C). A key payment rule for this service is that a second surgical assistant is also eligible for payment without requiring prior authorization from a medical consultant (). The fee for the surgical procedure includes the common and specific elements of surgical services as defined in the General Preamble ().

When to Use

Use S462 when performing a bilateral uretero-ileal conduit or similar urinary diversion where both ureters are anastomosed to the intestinal segment.
Select this code for bilateral procedures; do not attempt to unbundle by billing two units of a unilateral code, as S462 is specifically defined as the bilateral service.

Common Pitfalls

Billing S462 alongside other major urological reconstructive procedures without checking for 'Multiple Procedure' rules, which may result in a 50% reduction on the second procedure.
Failing to document the bilateral nature of the anastomosis, which can trigger an audit if the operative report only describes a unilateral procedure.
Incorrectly billing a second surgical assistant as an 'add-on' without ensuring the claim reflects the specific suffix requirements for the assistant's claim.

Billing Tips

Ensure the operative report clearly details the bilateral anastomosis to justify the S462 fee over potentially lower-valued unilateral codes.
If a second surgical assistant is utilized, ensure their claim is submitted with the correct suffix to trigger the automatic eligibility provided by GP90.

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Provider Fee$469.10

Surgical Assistant Fee$77.46

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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