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S557

S557Urethrovesicolysis

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.
Provider Fee$231.35
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

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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