All codes
S580
S580 – Plastic reconstruction, urethra
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Plastic reconstruction of the urethra. This is a surgical procedure and as such includes the specific elements of surgery as defined in the Schedule of Benefits. This includes preparation for the procedure, the operation itself, and post-operative care until the first post-operative visit. When performed by a medical trainee, the service is eligible for payment to the Supervising Physician subject to the rules outlined in through of the Schedule.
When to Use
- Use S580 for formal plastic reconstruction of the urethra, such as urethroplasty for stricture disease, rather than simple dilation or meatotomy.
- Select S580 when performing complex urethral repair that exceeds the scope of minor procedures like S571 or S572.
Common Pitfalls
- Billing S580 alongside other urethral procedures without clear documentation of distinct, separate surgical sites, which risks rejection for unbundling.
- Failing to document the specific complexity of the reconstruction, which may lead to audit scrutiny if the procedure is deemed equivalent to a less intensive code.
- Attempting to bill a second surgical assistant without prior authorization, as S580 is not on the pre-approved list for multiple assistants.
Billing Tips
- Ensure the operative report explicitly details the reconstructive technique used to justify the S580 fee over simpler urethral codes.
- If the procedure is non-elective and performed after hours, append E409A or E410A to the S580 claim to capture the appropriate procedural premium.
Provider Fee$355.60
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
U. Male Genital Surgical Procedures
Subcategory
MALE GENITAL SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Male Genital Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.