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S556 – Rectourethral fistula repair with diversion, colostomy and closure of colostomy

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

S556 represents a rectourethral fistula repair with diversion, colostomy and closure of colostomy. This is a major surgical procedure involving the repair of a rectourethral fistula, urinary diversion, creation of a colostomy, and subsequent closure of the colostomy. The fee for this procedure includes the surgery itself (suffix A) and routine post-operative care by the surgeon. Assistant (suffix B) and anaesthesia (suffix C) services are billed separately based on a unit system.

When more than one assistant is required for S556, the second assistant’s service is only eligible for payment following authorization by a medical consultant and requires submission of a letter from the surgeon outlining the reason the second assistant was required.

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