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S574
S574 – Amputation - partial
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S574 is a surgical procedure for the partial amputation of the penis. It is listed under the Male Genital Surgical Procedures section of the Schedule of Benefits. Payment for this service is based on a unit system, with separate calculations for the surgeon (A suffix), assistant (B suffix), and anaesthetist (C suffix). The assistant fee is calculated using 6 base units plus time units, and the anaesthesia fee is based on 7 base units plus time units, as detailed on page of the Schedule.
When to Use
- Use S574 for partial penectomy procedures where a portion of the penile shaft is removed, typically for malignancy.
- Distinguish from S575 (amputation of penis, total) and S576 (amputation of penis, radical with lymphadenectomy) to ensure the correct complexity level is billed.
Common Pitfalls
- Billing S574 when a more extensive procedure like S576 was performed; always confirm if lymph node dissection was included in the operative report.
- Failing to document the specific extent of the amputation, which can lead to audit scrutiny regarding whether the procedure qualifies as partial or total.
Billing Tips
- Ensure the operative report clearly supports the partial nature of the amputation to justify the use of S574 over the higher-valued S575.
- Remember that anaesthesia and assistant units are calculated separately based on base units plus time; ensure these are submitted with the appropriate C or B suffix.
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