What is OHIP billing code S536?

S536 is "Caruncle", an OHIP Urogenital and Urinary Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does S536 pay?

The current OHIP fee for S536 is $127.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill S536 to OHIP?

S536 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S536 claims against the Schedule of Benefits rules before submission.

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S536

S536 – Caruncle

OHIP Urogenital and Urinary Surgical Procedures Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits

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Excision of a urethral caruncle. This is a surgical procedure and is eligible for payment to the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) when medically necessary. The surgeon's fee is listed in the Schedule. Fees for assistant and anaesthetist services are calculated based on base units plus time units. • Assistant (Suffix B): The service is eligible for 6 base units. Time is calculated in 15-minute increments as per the rules on . • Anaesthetist (Suffix C): The service is eligible for 6 base units. Time is calculated in 15-minute increments as per the rules on . This service includes all common elements of insured services as described in the General Preamble (, ).

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