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S483

S483Cystectomy - partial with reimplantation of ureter

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

A surgical procedure involving a partial cystectomy for a tumour or diverticulum (either single or multiple). This service specifically includes the reimplantation of one ureter into the bladder. This service is eligible for surgeon (<suffix>A</suffix>), assistant (<suffix>B</suffix>), and anaesthetist (<suffix>C</suffix>) fees. The fee for the assistant is calculated with 6 base units, and the anaesthetist fee with 7 base units, plus applicable time units for both as per and . When this procedure is performed laparoscopically, premium code E792 may be claimed for a 25% increase to the surgical fee.

When to Use

  • Use S483 when performing a partial cystectomy specifically involving the excision of a bladder tumour or diverticulum combined with the mandatory reimplantation of one ureter.
  • Use S483 for cases requiring bladder wall resection where ureteral involvement necessitates surgical relocation, distinguishing it from simple bladder diverticulectomy (S482) which does not include ureteral reimplantation.

Common Pitfalls

  • Claiming S483 when the ureter is not reimplanted; if only the bladder wall is excised without ureteral involvement, the procedure may not meet the criteria for this specific code.
  • Failing to append E792 when the procedure is performed laparoscopically, resulting in a 25% underpayment of the surgical fee.
  • Incorrectly billing S483 alongside other bladder procedures that are considered inclusive of the surgical work, leading to potential audit flags for unbundling.

Billing Tips

  • Always verify if the procedure qualifies for the E792 laparoscopic premium, as this is a significant fee modifier that must be submitted on the same claim.
  • Ensure the surgical assistant and anaesthetist are aware that S483 is on the pre-approved list for a second assistant if clinical complexity requires additional support.
Provider Fee$592.05
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72

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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