S576 – Amputation - radical with inguinal and femoral glands 1 or 2 stages
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
S576 is for the radical amputation of the penis. This procedure includes the dissection and removal of both inguinal and femoral lymph glands. The surgery may be completed in a single operation (one stage) or across two separate operations (two stages). The fee for the surgeon (suffix A) is a flat rate. The fees for the surgical assistant (suffix B) and the anaesthetist (suffix C) are calculated based on a combination of base units and time units. Base units for an assistant are 6, and for an anaesthetist are 7.
When to Use
- Use S576 for radical penectomy when the procedure explicitly includes the dissection and removal of inguinal and femoral lymph nodes.
- Use this code for either single-stage radical penectomy or the combined total of a two-stage procedure involving nodal dissection.
Common Pitfalls
- Do not bill S576 if the lymph node dissection is not performed; use a standard penectomy code instead to avoid audit flags for unbundled services.
- Failure to document the Injury Severity Score (ISS) in the medical record will result in the rejection of the E420 trauma premium if claimed alongside this procedure.
Billing Tips
- Ensure the surgical assistant and anaesthetist claims correctly utilize the base units (6 and 7 respectively) plus time units, as these are not included in the flat fee for the surgeon.
Effective: April 1, 2026
U. Male Genital Surgical Procedures
MALE GENITAL SURGICAL PROCEDURES
Surgical
Male Genital Surgical Procedures
If claiming the Trauma Premium (E420), the medical record must list the Injury Severity Score (ISS).
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