All codes
S595
S595 – Ruptured testicle
OHIP Urology Code — MALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of a ruptured testicle. The fee is based on the surgeon's service, with additional calculations for assistant and anaesthetist services based on basic and time units.
When to Use
- Use S595 specifically for the surgical repair of a traumatic testicular rupture where the tunica albuginea has been breached.
- Select S595 over S596 (Orchidectomy) when the primary clinical objective is testicular salvage and reconstruction rather than removal.
Common Pitfalls
- Billing S595 in conjunction with E420 (Trauma Premium) without explicit documentation of the Injury Severity Score (ISS) in the patient record will lead to claim rejection.
- Attempting to bill S595 alongside other scrotal exploration codes (e.g., S598) is generally considered unbundling, as the exploration is inherent to the repair procedure.
Billing Tips
- Ensure the procedure start time is accurately recorded to support the application of after-hours premiums like E409 or E410, as these are calculated as a percentage of the S595 base fee.
Provider Fee$448.70
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
Sex Restriction
Male
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