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S550 – Urethroplasty, first stage - anterior

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

S550 is a surgical procedure for first stage anterior urethroplasty. As a surgical service listed in the Schedule of Benefits, the fee includes pre-operative, intra-operative, and post-operative care as defined in the General Preamble. This service is eligible for billing with suffix A (Surgeon), B (Assistant), and C (Anaesthetist) when the respective services are rendered. It is also subject to general rules for surgical procedures, including After Hours Premiums (E409/E410), Assistant Premiums (E400B/E401B), Anaesthesia Premiums (E400C/E401C), Age-Based Premiums, and the Trauma Premium (E420) under specific conditions.
All insured services must be documented in appropriate records. The record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.

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