What is OHIP billing code S488?

S488 is "Extrophy - excision of bladder and repair of abdominal wall - inclusive of graft", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S488 pay?

The current OHIP fee for S488 is $230.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill S488 to OHIP?

S488 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S488 claims against the Schedule of Benefits rules before submission.

What codes are related to S488?

Codes related to S488 in the Schedule of Benefits include S491.

All codes

S488

S488 – Extrophy - excision of bladder and repair of abdominal wall - inclusive of graft

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

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S488 is a surgical procedure for the excision of the bladder and repair of the abdominal wall related to extrophy. The fee for this service is inclusive of any graft required for the repair. As a surgical procedure, payment is contingent upon the use of the appropriate suffix: A for the surgeon, B for the assistant, and C for the anaesthetist. Fees for the assistant and anaesthetist are calculated based on a combination of basic and time units as defined in the Schedule of Benefits.

When to Use

Use S488 for the definitive surgical excision of the bladder and concurrent abdominal wall reconstruction in patients with bladder exstrophy.
Select S488 when the procedure involves the use of autologous or synthetic grafts for the abdominal wall repair, as the fee is explicitly inclusive of these materials.

Common Pitfalls

Attempting to bill separately for graft materials or harvesting will result in rejection, as S488 is all-inclusive.
Failure to append the mandatory suffix (A, B, or C) to the code will lead to an automatic claim rejection.
Billing for a second surgical assistant without prior written authorization from a medical consultant will result in non-payment.

Billing Tips

Ensure the claim includes the appropriate age-based premium if the patient is under 16 years of age, as these are frequently applicable to this pediatric-focused procedure.
When billing for the anaesthesiologist, ensure all applicable extra units (e.g., E022C for ASA III or E020C for emergency status) are submitted alongside the base anaesthetic units to maximize the claim value.

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Provider Fee$230.95

Surgical Assistant Fee$77.46

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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