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S581
S581 – Closure urethro-cutaneous fistula
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Closure urethro-cutaneous fistula is a surgical repair procedure on the penis. This service is intended for the correction of an abnormal connection between the urethra and the skin.
When to Use
- Use S581 for the surgical repair of a post-hypospadias repair fistula where the primary intent is the closure of the abnormal urethro-cutaneous connection.
- Use this code for the excision and primary closure of a traumatic or iatrogenic urethral fistula that has failed conservative management.
Common Pitfalls
- Do not bill S581 in addition to a primary hypospadias repair (e.g., S578 or S579) if the fistula closure is considered an integral part of the primary reconstruction procedure.
- Avoid billing S581 for simple skin closure if the underlying urethral defect was not addressed; the code specifically requires the repair of the urethro-cutaneous connection.
Billing Tips
- Ensure the operative report explicitly describes the dissection and layered closure of the urethral defect to support the use of S581 over minor skin repair codes.
- If the procedure is performed on a patient under 16 years of age, ensure the appropriate age premium (AGE_PREMIUM) is applied to the claim to capture the correct percentage increase.
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