S483 – Cystectomy - 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.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Urogenital and Urinary Surgical Procedures
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