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S547

S547Removal 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.
Provider Fee$182.90
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

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