S485 – Cystectomy - with ureterointestinal transplant
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
This procedure involves a complete cystectomy, which is the surgical removal of the urinary bladder. It is performed in conjunction with a ureterointestinal transplant, where the ureters are surgically connected to a segment of the intestine to allow for the passage of urine out of the body. This service is listed under the 'Cystectomy - Complete' heading. This procedure is eligible for various premiums, including an add-on for laparoscopic performance (E792).
When to Use
- Use S485 for a complete cystectomy involving the creation of a urinary diversion via ureterointestinal transplant, such as an ileal conduit or continent reservoir.
- Select S485 when the procedure is performed laparoscopically, ensuring you also append the E792 premium to capture the 25% increase.
Common Pitfalls
- Do not bill S485 with the expectation of automatic payment for a second assistant; this code is not on the pre-approved list and requires prior authorization from a medical consultant.
- Avoid billing S485 in conjunction with other major urogenital procedures without verifying if the secondary procedure is considered 'included' in the global fee for a complete cystectomy.
Billing Tips
- Always document the specific type of ureterointestinal transplant performed to support the use of S485 over less complex bladder procedures.
- When performing this procedure after hours or on weekends, ensure the start time is clearly documented to support the application of E409 or E410 premiums.
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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