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S524
S524 – Vesicovaginal fistula closure - transvesical approach
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Surgical closure of a vesicovaginal fistula via a transvesical approach. This procedure may be performed with or without the inclusion of an omental flap. This is listed under the SUTURE subsection for BLADDER procedures.
When to Use
- Use S524 for the primary surgical repair of a vesicovaginal fistula specifically via the transvesical approach.
- Use S524 when performing a fistula closure that involves the bladder mucosa and muscularis layers accessed through the bladder wall.
- Use S524 in conjunction with E792 if the procedure is performed laparoscopically rather than via open cystotomy.
Common Pitfalls
- Do not bill S524 for vaginal-approach fistula repairs; these are typically covered under different codes in the female genital system section.
- Avoid billing S524 alongside other bladder repair codes unless a distinct, separate procedure is performed that meets the criteria for multiple procedure billing rules.
- Failure to document the specific surgical approach (transvesical) can lead to audit scrutiny if the claim is flagged for review against vaginal-approach codes.
Billing Tips
- Always append E792 to your claim if you utilize a laparoscopic approach to ensure the 25% fee increase is captured.
- Ensure the operative report clearly describes the transvesical entry, as this is the defining clinical requirement for this specific code.
Provider Fee$583.60
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Since Apr 2004, this fee has increased 25.0% vs 58.5% CPI inflation
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Urogenital and Urinary Surgical Procedures
Sex Restriction
Female
Closure of fistula - see also Operations on the Female Genital System, page .
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