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S546
S546 – Repeat procedure for failed retropubic or vaginal surgery for stress incontinence
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Repeat procedure for failed retropubic or vaginal surgery for stress incontinence
When to Use
- Use S546 specifically for repeat surgical interventions following a failed primary retropubic or vaginal stress incontinence procedure.
- Apply this code when performing a revision surgery for persistent stress urinary incontinence where the initial surgical approach was either retropubic (e.g., Burch colposuspension) or vaginal (e.g., pubovaginal sling).
Common Pitfalls
- Do not bill S546 for primary incontinence procedures; it is strictly reserved for revision or repeat surgery cases.
- Avoid billing S546 in conjunction with other primary incontinence surgery codes, as this will trigger a rejection for duplicate or inappropriate billing of the same anatomical site.
- Failure to document the specific history of the failed prior surgery in the operative report is a significant audit risk, as the 'repeat' nature of the procedure must be clinically justified.
Billing Tips
- If the revision is performed laparoscopically, ensure you add code E862 to the claim to receive the 25% fee increase.
- Always verify that the previous surgical procedure is clearly referenced in the patient's chart to support the 'repeat' status required for S546.
Provider Fee$532.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
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
All insured services must be documented in appropriate records. The record must establish that an insured service was provided, the service submitted is the service that was rendered, and the service was medically necessary.
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