S512 – Repair of ruptured bladder
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
S512 is a surgical procedure for the repair of a ruptured bladder. The amount payable is determined by the role of the physician: - Surgeon (suffix A): Paid a flat fee for the procedure. - Surgical Assistant (suffix B): Fee is calculated based on 6 basic units plus time units as per the rules outlined in the General Preamble (). - Anaesthetist (suffix C): Fee is calculated based on 6 basic units plus time units as per the rules outlined in the General Preamble ().
When to Use
- Use S512 for the definitive surgical repair of a full-thickness bladder wall rupture resulting from blunt or penetrating trauma.
- Use S512 when performing an open surgical repair of a bladder perforation identified during a diagnostic procedure or secondary to iatrogenic injury.
Common Pitfalls
- Billing S512 for minor bladder wall lacerations that are managed conservatively or via endoscopic fulguration, which may be considered part of a different procedure.
- Failing to document the Injury Severity Score (ISS) in the medical record when claiming the E420 trauma premium, which is a common cause for audit recovery.
- Incorrectly billing S512 as a primary procedure when it is performed as an incidental component of a more extensive pelvic surgery, which may trigger a 'duplicate' or 'included' service rejection.
Billing Tips
- Ensure the operative report clearly distinguishes the repair of the bladder wall (S512) from any associated procedures, such as ureteral reimplantation or bowel repair, to justify separate billing if applicable.
- Always verify the start time of the procedure against the after-hours premium criteria (E409/E410) to ensure the 50% or 75% increase is applied to the base fee.
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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