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S568

S568Slit of prepuce - infant

OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

A surgical procedure involving a complete care service for the incision (slitting) of the prepuce. This procedure is specifically for an infant, defined as a patient from 29 days up to, but less than, 2 years of age, as per the definition on page . It is listed under Male Genital Surgical Procedures. The anaesthesia for this service has a base value of 6 units.

When to Use

  • Use S568 for the surgical slitting of the prepuce in infants aged 29 days up to 2 years.
  • Select S568 specifically for a dorsal slit procedure; do not use it for a full circumcision, which is covered under different codes.

Common Pitfalls

  • Billing S568 for patients under 29 days or 2 years and older will result in automatic rejection due to strict age-based eligibility.
  • Failing to apply the mandatory age premium (25% for <1 year, 20% for 1-2 years) is a common missed revenue opportunity for this procedure.

Billing Tips

  • Always verify the patient's exact age in days or years at the time of the procedure to ensure the correct age premium is appended to the base fee.
Provider Fee$62.45
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Category

U. Male Genital Surgical Procedures

Subcategory

MALE GENITAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Male Genital Surgical Procedures

Age Restriction

Patient must be an infant, defined as a person from 29 days up to, and less than, 2 years of age.

Sex Restriction

Male

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