S562 – Re-implantation of bifid ureter
OHIP Urology Code — UROGENITAL AND URINARY SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure involving the radical resection of a tumour from the thigh. This can include removal from muscle, fascia, bursa, synovia, tendon, or tendon sheath. The fee is for the surgeon's service (suffix A). Assistant (suffix B) and Anaesthesia (suffix C) services are billed separately based on basic and time units, and are eligible for various premiums.
When to Use
- Use S562 for the surgical re-implantation of a bifid ureter into the bladder, typically performed for vesicoureteral reflux or obstruction.
- Select S562 when the procedure involves the reconstruction of a duplicated ureteral system to ensure proper drainage into the bladder.
Common Pitfalls
- Do not bill S562 in conjunction with other ureteral reimplantation codes like S561, as this constitutes unbundling of a single surgical session.
- Avoid billing S562 without the appropriate E792 add-on code if the procedure was performed laparoscopically, as you will miss the 25% fee increase.
Billing Tips
- Ensure the E792 laparoscopic premium is appended to S562 to capture the 25% increase for minimally invasive approaches as permitted by the Schedule of Benefits.
Effective: April 1, 2026
T. Urogenital and Urinary Surgical Procedures
UROGENITAL AND URINARY SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
When claiming the E420 trauma premium, the medical record must list the Injury Severity Score (ISS).
All insured services must be documented in the patient's medical record to establish that the service was provided, was medically necessary, and is the same service for which the account is submitted.
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