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S558
S558 – Second stage urethroplasty
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
S558 is a second stage urethroplasty procedure.
When to Use
- Use S558 for the definitive reconstruction phase of a multi-stage urethroplasty, such as the closure of a staged buccal mucosa graft or skin flap procedure.
- Use this code when the primary objective is the final closure or tubularization of the urethra following a successful initial stage (e.g., after the graft has taken).
- Do not use S558 for primary urethroplasty; use appropriate codes for single-stage repairs or the initial stage of a staged procedure if a specific code exists.
Common Pitfalls
- Billing S558 alongside a primary urethroplasty code on the same date of service, which may trigger a rejection for unbundling or duplicate service.
- Failing to document the specific 'second stage' nature of the procedure, which is essential for audit justification given that the code implies a prior surgical intervention.
- Submitting S558 for minor revisions or post-operative complications of a urethroplasty, which should instead be billed under appropriate minor surgical or revision codes.
Billing Tips
- Ensure the operative report clearly describes the second-stage nature of the repair to distinguish it from a primary reconstruction.
- If performing additional procedures during the same anaesthetic, remember that the surgical assistant and anaesthetist fees are typically limited to the major procedure's basic units.
Provider Fee$235.35
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
T. Urogenital and Urinary Surgical Procedures
Subcategory
UROGENITAL AND URINARY SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Neurological Surgical Procedures
All insured services must be documented in appropriate records that establish: 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.
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