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S555
S555 – Fistula - perineal urethra
OHIP Urogenital and Urinary Surgical Procedures Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
When a second assistant is required for a surgical procedure, unless the service is listed, the second assistant's service is only eligible for payment following authorization by a medical consultant. S555 is listed as a service where a second assistant's services are payable and authorization is not required.
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