S557 – Urethrovesicolysis
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
S557 is a surgical procedure listed in the Schedule of Benefits. The specific description of this procedure is not available in the provided context. - Surgeon (Suffix A): The fee is payable to the physician performing the procedure. After-hours (E409, E410) and trauma (E420) premiums may apply. - Surgical Assistant (Suffix B): Assistant services are payable. The fee is calculated by combining basic units and time units, multiplied by the assistant unit fee as per . After-hours (E400B, E401B), special visit, and trauma premiums may apply. - Anaesthesia (Suffix C): Anaesthesia services are payable. The fee is calculated by combining basic units and time units, multiplied by the anaesthesiologist unit fee as per . Various premiums for patient age, condition (ASA status, BMI, etc.), and after-hours service may apply.
When to Use
- Use S557 when performing a primary surgical release of adhesions specifically involving the urethra and bladder neck area.
- Use this code for isolated lysis of urethrovesical adhesions where no other concurrent surgical procedure is performed, as it is restricted to sole-procedure billing.
Common Pitfalls
- Attempting to bill S557 alongside other urological procedures will result in automatic rejection, as the Schedule of Benefits mandates it be the sole operative procedure.
- Failure to document the specific anatomical location of the lysis can lead to audit scrutiny, as the code is specific to the urethrovesical junction.
Billing Tips
- Ensure the claim is submitted as a standalone procedure; if you perform a more comprehensive procedure (e.g., cystourethroplasty), bill that primary code instead of S557.
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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