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S519
S519 – Plastic repair of bladder neck - adolescent or adult
OHIP Urogenital and Urinary Surgical Procedures Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Plastic repair of the bladder neck in an adolescent or adult. This surgical procedure is eligible for payment to the surgeon (suffix A), an assistant (suffix B), and an anaesthetist (suffix C). The fee for a surgical assistant is calculated using 6 base units plus time units. The fee for an anaesthetist is calculated using 7 base units plus time units. Refer to the General Preamble for detailed rules on unit calculation (, ).
All insured services must be documented in appropriate records that the service was provided, is the service submitted, and was medically necessary, as per the Health Insurance Act ().
For surgical assistant services, time spent must be recorded in the patient's permanent medical record ().
For anaesthesia services, the anaesthesiologist's start and end times must be recorded in the patient's medical record ().
Age
Adolescent or adult patient
The fee for a surgical assistant (suffix B) is calculated using 6 base units plus time units.
The fee for an anaesthetist (suffix C) is calculated using 7 base units plus time units.
See the Surgical Assistants' Services (-) and Anaesthesiologists' Services (-) sections of the General Preamble for unit calculation rules.
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