S547 – Removal of foreign body or calculus
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
S547 is a surgical procedure for the endoscopic removal of a foreign body or calculus from the urethra. This service is performed under anaesthesia, with 7 base units allocated for the anaesthesiologist's service. As a surgical procedure, it is eligible for various premiums including after-hours procedure premiums (E409, E410), a trauma premium (E420), and age-based premiums for patients under 16 years of age as outlined in the General Preamble on page . The anaesthesia service is eligible for additional time units and various extra units based on patient factors such as age and clinical condition as detailed on page .
When to Use
- Use S547 for endoscopic retrieval of a urethral stone or foreign body requiring anesthesia, whereas simple office-based extraction without anesthesia should be billed as a minor assessment or procedure.
- Select S547 when the procedure is performed via cystoscope; do not use this code for open surgical removal, which falls under different procedural codes.
Common Pitfalls
- Billing S547 in conjunction with a cystoscopy code like S540 is considered double-billing, as the endoscopic access is inherent to the S547 procedure.
- Failing to append the appropriate after-hours premium (E409 or E410) when the procedure is performed outside of standard operating hours results in significant lost revenue.
Billing Tips
- Ensure the operative report explicitly documents the endoscopic nature of the removal to support the S547 claim during an audit of urogenital procedures.
- Always verify if the patient qualifies for the age-based premium under GP64, as this is frequently missed for pediatric patients undergoing this procedure.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Urogenital and Urinary Surgical Procedures
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