What is OHIP billing code S572?

S572 is "Hypospadias or Epispadia - one stage repair into glans using island flap pedicle (penoscrotal)", an OHIP Urology code from the Ontario Schedule of Benefits (Physician Services).

How much does S572 pay?

The current OHIP fee for S572 is $935.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill S572 to OHIP?

S572 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates S572 claims against the Schedule of Benefits rules before submission.

All codes

S572

S572 – Hypospadias or Epispadia - one stage repair into glans using island flap pedicle (penoscrotal)

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

Ask AI Bill This Code — Sign Up Free

This procedure is a one-stage repair for hypospadias or epispadias. It specifically involves reconstruction that brings the urethral meatus into the glans, utilizing an island flap pedicle from the penoscrotal region. - The fee for a surgical assistant is calculated based on 6 basic units plus time units as per and . - The fee for an anaesthetist is calculated based on 6 basic units plus time units as per and .

When to Use

Use S572 specifically for a one-stage hypospadias or epispadias repair where the urethral meatus is advanced into the glans using a penoscrotal island flap pedicle.
Do not use S572 for simple meatal advancement procedures; use this code only when the specific island flap technique described is performed.

Common Pitfalls

Billing S572 alongside other hypospadias repair codes is a common cause of rejection due to the Schedule of Benefits' rules regarding the bundling of surgical components.
Failure to apply the mandatory age-based surgical premiums (e.g., under 1 year, under 5 years) results in significant underpayment, as these are not automatically calculated by the system.

Billing Tips

Ensure the operative report explicitly documents the use of an 'island flap pedicle' from the penoscrotal region to justify the use of S572 over less complex repair codes.
When billing for the surgical assistant or anaesthetist, ensure the claim includes the correct basic units (6) plus the appropriate time units as per the GP sections to avoid manual review or rejection.

Have a specific question? Ask our billing assistant

Provider Fee$935.30

Surgical Assistant Fee$77.46

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in