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S476
S476 – Cutaneous vesicostomy
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Cutaneous vesicostomy is a surgical procedure listed in the Urogenital and Urinary Surgical Procedures section of the Schedule of Benefits, under the INCISION sub-heading for the bladder.
When to Use
- Use S476 for the surgical creation of a stoma between the bladder and the skin, typically for long-term urinary diversion in pediatric patients with neurogenic bladder.
- Select S476 when performing a primary cutaneous vesicostomy, as opposed to a revision or closure procedure which would require different coding.
Common Pitfalls
- Do not bill S476 in conjunction with other bladder procedures unless they are distinct, unrelated surgeries; otherwise, the Ministry may flag this as unbundling.
- Failure to document the specific surgical approach or the underlying indication (e.g., neurogenic bladder) can lead to audit scrutiny regarding the necessity of the procedure.
Billing Tips
- Ensure that age-based premiums are applied correctly to the S476 fee, as this procedure is frequently performed on pediatric patients who qualify for the 10% to 30% age-based increases.
Provider Fee$468.70
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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