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S513
S513 – Cystoplasty, using intestine
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Cystoplasty using intestine is a major surgical procedure performed to repair or augment the urinary bladder. This involves the surgeon using a portion of the patient's own intestine to increase the bladder's capacity or replace damaged sections of the bladder wall.
When to Use
- Use S513 when performing a formal bladder augmentation or reconstruction using a bowel segment (e.g., ileocystoplasty) to increase bladder capacity.
- Select S513 for complex bladder wall replacement where intestinal tissue is harvested and integrated into the urinary tract, distinguishing it from simple bladder repairs or closures.
Common Pitfalls
- Do not bill S513 in conjunction with bowel resection codes unless the bowel work is distinct and beyond the scope of the cystoplasty procedure, as the intestinal harvest is considered integral to S513.
- Avoid using S513 for simple cystorrhaphy or bladder neck procedures; ensure the operative report clearly details the use of intestinal tissue to meet the specific definition of 'cystoplasty using intestine'.
Billing Tips
- Ensure the operative note explicitly documents the source and length of the intestinal segment used, as this is the primary justification for the higher fee compared to standard bladder repair codes.
- Remember to apply the appropriate age-based premium (e.g., AGE_PREMIUM_UNDER_16Y) if the patient is under 16, as this is a major surgical procedure eligible for these specific percentage increases.
Provider Fee$742.80
Surgical Assistant Fee$103.28
Anaesthetist Fee$143.64
Non-Anaesthetist Fee$143.64
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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