All codes
S569
S569 – Slit of prepuce - adult or child
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use S569 for a dorsal slit procedure performed on a child or adult to relieve phimosis or paraphimosis.
- Select S569 when the patient is older than the infant age threshold, as S568 is strictly reserved for infants.
Common Pitfalls
- Billing S569 for a newborn or infant will result in rejection; ensure the patient's age aligns with S567 or S568 respectively.
- Attempting to bill an assistant fee directly with S569 will be rejected, as there is no assigned assistant unit in the Schedule of Benefits.
Billing Tips
- If an assistant is medically necessary for this procedure, you must submit M400B along with a letter of justification to a medical consultant for manual review.
- Ensure the procedure is documented as a complete slit of the prepuce to justify the full fee, as partial or diagnostic procedures may not meet the criteria for this surgical code.
Provider Fee$65.30
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
Applicable to an adult or child. Separate codes exist for newborns (S567) and infants (S568).
Sex Restriction
Male
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.