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S482
S482 – Cystectomy - partial for tumour or diverticulum
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Partial cystectomy, which involves the surgical removal of a portion of the bladder. This procedure is indicated for the excision of a tumour (single or multiple) or a diverticulum. This is a major surgical procedure eligible for surgeon (suffix A), assistant (suffix B), and anaesthesia (suffix C) fees.
When to Use
- Use S482 for the surgical excision of a bladder diverticulum that requires a formal partial cystectomy approach.
- Use S482 for the resection of a bladder wall tumour where the depth of invasion or location necessitates a partial cystectomy rather than a transurethral resection (TURBT, S451).
Common Pitfalls
- Do not bill S482 in conjunction with S451 (Transurethral resection of bladder tumour), as these are considered mutually exclusive for the same lesion.
- Failure to document the specific pathology or anatomical indication for the partial cystectomy can lead to audit scrutiny regarding the necessity of the procedure over less invasive alternatives.
Billing Tips
- If the procedure is performed laparoscopically, ensure you append the E792 add-on code to receive the 25% fee increase.
- Verify the start time of the procedure to correctly apply after-hours premiums (E409/E410) for non-elective cases, as these significantly increase the base fee.
Provider Fee$409.10
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
Age Restriction
Trauma premium E420 applies for patients age 16 or more with an ISS > 15.
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